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Destiny Fuller, LPN
Licensed Practical Nurse in Macon, Georgia
NPI 1972108256

Destiny Fuller is a Licensed Practical Nurse based in Macon, GA. Destiny Fuller practices in Macon, GA and has the professional credentials of LPN. The NPI Number for Destiny Fuller is 1972108256 and holds a License No. LPN098619 (Georgia).

The current practice location address for Destiny Fuller is 1389 Jackson St, Macon, GA and can be reached out via phone at 478-305-9558. You can also correspond with Destiny Fuller through the mailing address at 1389 JACKSON ST, MACON, GA - 31201-2207 (mailing address contact number: ).

Location: 1389 Jackson St, Macon, GA, 31201-2207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972108256
Provider Name
Destiny Fuller
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1389 Jackson St, Macon, GA, 31201-2207
Phone Number
478-305-9558
Fax Number
Provider Enumeration Date
12/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1389 Jackson St
City
Macon
State
Georgia
Zip
31201-2207
Phone Number
478-305-9558
Fax Number
person
Provider Business Mailing Address Details
Address
1389 Jackson St
City
Macon
State
Georgia
Zip
31201-2207
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LPN098619 (Georgia)
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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