Individual provider · Type 1 NPI

Mary Fuller, DNP

Nurse Practitioner · Kewanee, IL

NPI number 1497364053 Active

Practice location

110 N Burr Blvd
Kewanee, IL 61443-2214

Fax (309) 854-5575

Specialties and licenses

TaxonomyCodeLicense
Public Health & General Preventive Medicine Physician 2083P0901X209021513 (IL)
Primary Care Nurse Practitioner 363LP2300X209021513 (IL)
Nurse Practitioner Primary 363L00000X209021513 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1497364053

Mary Fuller, DNP's National Provider Identifier is 1497364053, issued on Jul 29, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kewanee, IL. The record was last updated on Aug 4, 2020.