Individual provider · Type 1 NPI
Carol Marie Fulton, ARNP
Pediatric Nurse Practitioner · Jacksonville, FL
NPI number
1861460115
Active
Practice location
655 W 8th St, Ufjp Pediatrics Rainbow Center
Jacksonville, FL 32209-6511
Fax (904) 244-5341
Mailing address
PO Box 44008, Ufjp Provider Enrollment
Jacksonville, FL 32231-4008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | ARNP1392722 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1861460115
Carol Marie Fulton, ARNP's National Provider Identifier is 1861460115, issued on Mar 12, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 16, 2009.