Individual provider · Type 1 NPI

Tyneesha Fulmore

Licensed Practical Nurse · Columbia, MD

NPI number 1073274973 Active

Practice location

7090 Samuel Morse Dr
Columbia, MD 21046-3442

Call (888) 344-5977 Map

Mailing address

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP57220 (MD)

Licensed Practical Nurse: 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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About NPI 1073274973

Tyneesha Fulmore's National Provider Identifier is 1073274973, issued on Jan 4, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Columbia, MD. The record was last updated on Mar 4, 2026.