Individual provider · Type 1 NPI

Jennifer Fullem, NP

Family Nurse Practitioner · Halethorpe, MD

NPI number 1891345674 Active

Practice location

1701 Twin Springs Rd
Halethorpe, MD 21227-3553

Mailing address

45 4th St
New Freedom, PA 17349-9742

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XR191487 (MD)
Family Nurse Practitioner Primary 363LF0000XR191487 (MD)

Family Nurse Practitioner: Definition to come...

87 other providers at this address

About NPI 1891345674

Jennifer Fullem, NP's National Provider Identifier is 1891345674, issued on Sep 13, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Halethorpe, MD. The record was last updated on Sep 19, 2022.