Individual provider · Type 1 NPI
Carolyn Fuquay, RN
Administrator Registered Nurse · Jefferson, TX
NPI number
1821599549
Active
Practice location
120 N Walnut St
Jefferson, TX 75657-1934
Fax (903) 665-7244
Mailing address
PO Box 901
Jefferson, TX 75657-0901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 637660 (TX) |
| Case Management Registered Nurse | 163WC0400X | 637660 (TX) |
| Administrator Registered Nurse Primary | 163WA2000X | 637660 (TX) |
Administrator Registered Nurse: Definition to come...
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About NPI 1821599549
Carolyn Fuquay, RN's National Provider Identifier is 1821599549, issued on Feb 27, 2018. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Jefferson, TX. The record was last updated on Feb 27, 2018.