Individual provider · Type 1 NPI
Jessica Fullilove
Home Health Agency · Gary, IN
Practice location
3795 Lincoln St
Gary, IN 46408-2115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency Primary | 251E00000X | $$$$$$$$$ (IN) |
Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…
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About NPI 1336084276
Jessica Fullilove's National Provider Identifier is 1336084276, issued on Apr 20, 2026. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Gary, IN. The record was last updated on Apr 20, 2026.