Fuller, Carissa Sharnetta

Fuller, Carissa Sharnetta is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fuller, Carissa Sharnetta can be contacted via phone (215) 707-1800.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-1800
Fax: (215) 707-3644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X LP0000308 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009193 Pennsylvania

Profile Details

NPI number 1407070501
LBN Legal business name Fuller, Carissa Sharnetta
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Feb 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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