person
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
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
23598 Civic Center Dr
City
State
Zip
48033-7134
Phone Number
248-469-9821
Fax Number
person
Provider Business Mailing Address Details
Address
23598 Civic Center Dr
City
State
Zip
48033-7134
Phone Number
248-469-9821
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
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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