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Mrs. Teawka Fullmore, NP-C
Gerontology Nurse Practitioner in Waycross, Georgia
NPI 1861884215

Teawka Fullmore is a Gerontology Nurse Practitioner based in Waycross, GA and is specialized in Gerontology. Teawka Fullmore practices in Waycross, GA and has the professional credentials of NP-C. The NPI Number for Teawka Fullmore is 1861884215 and holds a License No. RN176193 (Georgia).

The current practice location address for Teawka Fullmore is 711 Knight Avenue, Waycross, GA and can be reached out via phone at 912-283-9423 and via fax at 912-283-8204.

Location: 711 Knight Avenue, Waycross, GA, 31501-1943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861884215
Provider Name
Teawka Fullmore
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
711 Knight Avenue, Waycross, GA, 31501-1943
Phone Number
912-283-9423
Fax Number
912-283-8204
Provider Enumeration Date
02/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG6045 01 GA RAILROAD MEDICARE GROUP ID
1144420530 01 GA MEDICARE GROUP NPI
1861884215 01 GA MEDICARE NPI
2025I01375 01 GA MEDICARE PTAN
RN176193 01 RN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
711 Knight Avenue
City
Waycross
State
Georgia
Zip
31501-1943
Phone Number
912-283-9423
Fax Number
912-283-8204
person
Provider Business Mailing Address Details
Address
711 Knight Avenue
City
Waycross
State
Georgia
Zip
31501-1943
Phone Number
912-283-9423
Fax Number
912-283-8204
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN176193 (Georgia)
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 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN176193 (Georgia)
Definition
Definition to come...
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