Individual provider · Type 1 NPI
Brett A. Fulks, NP
Nurse Practitioner · Urbana, IL
Practice location
611 W. Park St.
Urbana, IL 61801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209019137 (IL) |
Nurse Practitioner: (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 wit…
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About NPI 1174165310
Brett A. Fulks, NP's National Provider Identifier is 1174165310, issued on Oct 9, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Urbana, IL. The record was last updated on Oct 11, 2019.