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Mrs. Mary Fuller, DNP
Nurse Practitioner in Kewanee, Illinois
NPI 1497364053

Mary Fuller is a Nurse Practitioner based in Kewanee, IL. Mary Fuller practices in Kewanee, IL and has the professional credentials of DNP. The NPI Number for Mary Fuller is 1497364053 and holds a License No. 209021513 (Illinois).

The current practice location address for Mary Fuller is 110 N Burr Blvd, Kewanee, IL and can be reached out via phone at 309-852-0197 and via fax at 309-854-5575.

Location: 110 N Burr Blvd, Kewanee, IL, 61443-2214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497364053
Provider Name
Mary Fuller
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
110 N Burr Blvd, Kewanee, IL, 61443-2214
Phone Number
309-852-0197
Fax Number
309-854-5575
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
366006568001 05 IL
institution
Provider Business Practice Location Address Details
Address
110 N Burr Blvd
City
Kewanee
State
Illinois
Zip
61443-2214
Phone Number
309-852-0197
Fax Number
309-854-5575
person
Provider Business Mailing Address Details
Address
110 N Burr Blvd
City
Kewanee
State
Illinois
Zip
61443-2214
Phone Number
309-852-0197
Fax Number
309-854-5575
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Public Health & General Preventive Medicine
Taxonomy
2083P0901X
License No.
209021513 (Illinois)
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209021513 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
209021513 (Illinois)
Definition
Definition to come...
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