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Bonnie Nall Fuller, APRN
Family Nurse Practitioner in Yalaha, Florida
NPI 1215512611

Bonnie Nall Fuller is a Family Nurse Practitioner based in Yalaha, FL and is specialized in Family. Bonnie Nall Fuller practices in Yalaha, FL and has the professional credentials of APRN. The NPI Number for Bonnie Nall Fuller is 1215512611 and holds a License No. APRN11012161 (Florida).

The current practice location address for Bonnie Nall Fuller is 16 Lakeshore Dr, Yalaha, FL and can be reached out via phone at 850-960-6038.

Location: 16 Lakeshore Dr, Yalaha, FL, 34797-3032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215512611
Provider Name
Bonnie Nall Fuller
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
16 Lakeshore Dr, Yalaha, FL, 34797-3032
Phone Number
850-960-6038
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN11012161 01 FL FLORIDA DEPARTMENT OF HEALTH BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
16 Lakeshore Dr
City
Yalaha
State
Florida
Zip
34797-3032
Phone Number
850-960-6038
Fax Number
person
Provider Business Mailing Address Details
Address
16 Lakeshore Dr
City
Yalaha
State
Florida
Zip
34797-3032
Phone Number
850-960-6038
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11012161 (Florida)
Definition
Definition to come...
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