Individual provider · Type 1 NPI

Ellie Fulgham

Family Nurse Practitioner · Benton, KY

NPI number 1891474896 Active

Practice location

2607 Main St
Benton, KY 42025-7601

Mailing address

4229 US Highway 68 W
Benton, KY 42025-6636

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4001423 (KY)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1891474896

Ellie Fulgham's National Provider Identifier is 1891474896, issued on Jul 17, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Benton, KY. The record was last updated on Sep 1, 2023.