Individual provider · Type 1 NPI

Jayme Fuller, PA-C

Surgical Physician Assistant · Anchorage, AK

NPI number 1306490446 Active

Practice location

4100 Lake Otis Pkwy Ste 108
Anchorage, AK 99508-5230

Fax (833) 464-5196

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X170490 (AK)

Surgical Physician Assistant: Definition to come...

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About NPI 1306490446

Jayme Fuller, PA-C's National Provider Identifier is 1306490446, issued on Jul 26, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Anchorage, AK. The record was last updated on Nov 27, 2023.