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Kelly G Fuller, LPN
Licensed Practical Nurse in Tullahoma, Tennessee
NPI 1861127946

Kelly G Fuller is a Licensed Practical Nurse based in Petersburg, TN. Kelly G Fuller practices in Tullahoma, TN and has the professional credentials of LPN. The NPI Number for Kelly G Fuller is 1861127946 and holds a License No. 95880 (Tennessee).

The current practice location address for Kelly G Fuller is 615 Wilson Ave, Tullahoma, TN and can be reached out via phone at 931-455-9369. You can also correspond with Kelly G Fuller through the mailing address at 55 PEYTON RD, PETERSBURG, TN - 37144-7753 (mailing address contact number: 931-675-2343).

Location: 615 Wilson Ave, Tullahoma, TN, 37144-7753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861127946
Provider Name
Kelly G Fuller
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
615 Wilson Ave, Tullahoma, TN, 37144-7753
Phone Number
931-455-9369
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 Wilson Ave
City
Tullahoma
State
Tennessee
Zip
37388-3264
Phone Number
931-455-9369
Fax Number
person
Provider Business Mailing Address Details
Address
615 Wilson Ave
City
Tullahoma
State
Tennessee
Zip
37388-3264
Phone Number
931-455-9369
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
95880 (Tennessee)
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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