Individual provider · Type 1 NPI

Scott Lee Fulkerson

Peer Specialist · Ellington, MO

NPI number 1477446748 Active

About NPI 1477446748

Scott Lee Fulkerson's National Provider Identifier is 1477446748, issued on Jun 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ellington, MO. The record was last updated on Jun 3, 2025.