Individual provider · Type 1 NPI

Nicole Middleton Fuller, NP-C

Family Nurse Practitioner · Monroe, LA

NPI number 1083742993 Active

Practice location

2516 Broadmoor Blvd
Monroe, LA 71201-2988

Call (318) 322-1161 Map

Fax (318) 322-9313

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363

Other practice locations

  • 312 Grammont St Ste 404, Monroe, LA 71201-7403 · (318) 966-6800

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP04408 (LA)

Family Nurse Practitioner: Definition to come...

19 other providers at this address

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About NPI 1083742993

Nicole Middleton Fuller, NP-C's National Provider Identifier is 1083742993, issued on Mar 1, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monroe, LA. The record was last updated on Dec 29, 2023.