Individual provider · Type 1 NPI

Destiny Fuller, LPN

Licensed Practical Nurse · Macon, GA

NPI number 1972108256 Active

Practice location

1389 Jackson St
Macon, GA 31201-2207

Call (478) 305-9558 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN098619 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1972108256

Destiny Fuller, LPN's National Provider Identifier is 1972108256, issued on Dec 3, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Macon, GA. The record was last updated on Dec 3, 2020.