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Mrs. Kristy Leann Fullard, NP
Family Nurse Practitioner in Modesto, California
NPI 1528604543

Kristy Leann Fullard is a Family Nurse Practitioner based in Modesto, CA and is specialized in Family. Kristy Leann Fullard practices in Modesto, CA and has the professional credentials of NP. The NPI Number for Kristy Leann Fullard is 1528604543 and holds a License No. F12190864 (California).

The current practice location address for Kristy Leann Fullard is 2012 Kendall Ave, Modesto, CA and can be reached out via phone at 209-581-5359.

Location: 2012 Kendall Ave, Modesto, CA, 95352-4995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528604543
Provider Name
Kristy Leann Fullard
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2012 Kendall Ave, Modesto, CA, 95352-4995
Phone Number
209-581-5359
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2012 Kendall Ave
City
Modesto
State
California
Zip
95355-3280
Phone Number
209-581-5359
Fax Number
person
Provider Business Mailing Address Details
Address
2012 Kendall Ave
City
Modesto
State
California
Zip
95355-3280
Phone Number
209-581-5359
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F12190864 (California)
Definition
Definition to come...
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