Jacqueline Fuller - Southfield, MI

Jacqueline Fuller

Licensed Practical Nurse in Southfield, Michigan

NPI 1689049272

Jacqueline Fuller is a Licensed Practical Nurse based in Southfield, MI. Jacqueline Fuller practices in Southfield, MI. The NPI Number for Jacqueline Fuller is 1689049272 and holds a License No. 4703112821 (Michigan).

The current practice location address for Jacqueline Fuller is 23598 Civic Center Dr, Southfield, MI and can be reached out via phone at 248-469-9821.

Location: 23598 Civic Center Dr, Southfield, MI, 48033-7134

NPI Number

1689049272

Provider Name

Jacqueline Fuller

Credential

Provider Entity Type

Individual

Gender

Female

Address

23598 Civic Center Dr, Southfield, MI, 48033-7134

Phone Number

248-469-9821

Fax Number

Provider Enumeration Date

12/08/2015

Last Update Date

03/09/2024

Address

23598 Civic Center Dr

City

Southfield

State

Michigan

Zip

48033-7134

Phone Number

248-469-9821

Fax Number

Address

23598 Civic Center Dr

City

Southfield

State

Michigan

Zip

48033-7134

Phone Number

248-469-9821

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

4703112821 (Michigan)

Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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