Individual provider · Type 1 NPI

Jonalyn Pascua Fuller, NP

Gerontology Nurse Practitioner · Springfield, MO

NPI number 1457010381 Active

Practice location

2115 S Fremont Ave Ste 3300
Springfield, MO 65804-2246

Other practice locations

  • 1501 N Oakland Ave, Bolivar, MO 65613-3020 · (417) 326-7200

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2015021422 (MO)
Gerontology Nurse Practitioner Primary 363LG0600X2021043723 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1457010381

Jonalyn Pascua Fuller, NP's National Provider Identifier is 1457010381, issued on Dec 8, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Springfield, MO. The record was last updated on Oct 10, 2022.