Individual provider · Type 1 NPI
Ashley Ledford Fuller, CPNP-PC
Pediatric Nurse Practitioner · Greenville, GA
NPI number
1275704645
Active
Practice location
3980 Highway 100
Greenville, GA 30222-2109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20080140 (GA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1275704645
Ashley Ledford Fuller, CPNP-PC's National Provider Identifier is 1275704645, issued on Mar 13, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Greenville, GA. The record was last updated on Mar 13, 2008.