Individual provider · Type 1 NPI

Monica Fukala

Family Nurse Practitioner · Germantown, TN

NPI number 1477075323 Active

Practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Fax (901) 685-2969

Mailing address

7714 Poplar Ave Ste 200
Germantown, TN 38138-3941

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X22783 (TN)
Family Nurse Practitioner Primary 363LF0000X22783 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1477075323

Monica Fukala's National Provider Identifier is 1477075323, issued on Jul 12, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Germantown, TN. The record was last updated on Nov 16, 2017.