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Mrs. Catina Fuller
Addiction (Substance Use Disorder) Registered Nurse in Jackson, Mississippi
NPI 1407430390

Catina Fuller is an Addiction (Substance Use Disorder) Registered Nurse based in Jackson, MS and is specialized in Addiction (Substance Use Disorder). Catina Fuller practices in Jackson, MS. The NPI Number for Catina Fuller is 1407430390 and holds a License No. 901240 (Mississippi).

The current practice location address for Catina Fuller is 1935 Lakeland Dr Ste 900, Jackson, MS and can be reached out via phone at 601-718-2468.

Location: 1935 Lakeland Dr Ste 900, Jackson, MS, 39216-5028
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Provider Profile Details
NPI Number
1407430390
Provider Name
Catina Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
1935 Lakeland Dr Ste 900, Jackson, MS, 39216-5028
Phone Number
601-718-2468
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64126 05 MS
institution
Provider Business Practice Location Address Details
Address
1935 Lakeland Dr Ste 900
City
State
Zip
39216-5028
Phone Number
601-718-2468
Fax Number
person
Provider Business Mailing Address Details
Address
1935 Lakeland Dr Ste 900
City
State
Zip
39216-5028
Phone Number
601-718-2468
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
901240 (Mississippi)
Definition
Definition to come...
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