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Jeremy Wayne Fuller, FNP
Family Nurse Practitioner in Round Mountain, California
NPI 1285221440

Jeremy Wayne Fuller is a Family Nurse Practitioner based in Redding, CA and is specialized in Family. Jeremy Wayne Fuller practices in Round Mountain, CA and has the professional credentials of FNP. The NPI Number for Jeremy Wayne Fuller is 1285221440 and holds a License No. 95015009 (California).

The current practice location address for Jeremy Wayne Fuller is 29632 Hwy. 299 East, Round Mountain, CA and can be reached out via phone at 530-337-5750.

Location: 29632 Hwy. 299 East, Round Mountain, CA, 96001-0218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285221440
Provider Name
Jeremy Wayne Fuller
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
29632 Hwy. 299 East, Round Mountain, CA, 96001-0218
Phone Number
530-337-5750
Fax Number
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29632 Hwy. 299 East
City
Round Mountain
State
California
Zip
96084
Phone Number
530-337-5750
Fax Number
person
Provider Business Mailing Address Details
Address
29632 Hwy. 299 East
City
Round Mountain
State
California
Zip
96084
Phone Number
530-337-5750
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95015009 (California)
Definition
Definition to come...
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