person
Carissa Sharnetta Fuller, CRNP
Adult Health Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1407070501

Carissa Sharnetta Fuller is an Adult Health Nurse Practitioner based in Philadelphia, PA and is specialized in Adult Health. Carissa Sharnetta Fuller practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Carissa Sharnetta Fuller is 1407070501 and holds a License No. LP0000308 (Pennsylvania).

The current practice location address for Carissa Sharnetta Fuller is 3401 N Broad St, Philadelphia, PA and can be reached out via phone at 215-707-1800 and via fax at 215-707-3644. You can also correspond with Carissa Sharnetta Fuller through the mailing address at 3500 N BROAD ST RM 1A, PHILADELPHIA, PA - 19140-4106 (mailing address contact number: 215-926-9022).

Location: 3401 N Broad St, Philadelphia, PA, 19140-4106
person
Provider Profile Details
NPI Number
1407070501
Provider Name
Carissa Sharnetta Fuller
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3401 N Broad St, Philadelphia, PA, 19140-4106
Phone Number
215-707-1800
Fax Number
215-707-3644
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3401 N Broad St
City
State
Zip
19140-5103
Phone Number
215-707-1800
Fax Number
215-707-3644
person
Provider Business Mailing Address Details
Address
3401 N Broad St
City
State
Zip
19140-5103
Phone Number
215-707-1800
Fax Number
215-707-3644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
SP009193 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
LP0000308 (Delaware)
Definition
Definition to come...
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