Fuller-Crawford, Joanna L

Fuller-Crawford, Joanna L is an sole proprietor health care provider with primary practice located at 5228 Rosewood Pl , Fairburn GA 30213-5113. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Home Health, Nursing Service Providers / Hemodialysis, Nursing Service Providers / Administrator. Nursing Service Providers / Administrator is her primary health care specialty. Fuller-Crawford, Joanna L can be contacted via phone (678) 834-2285.

Contact Information

Primary practice address
5228 Rosewood Pl Fairburn GA 30213-5113
Phone: (678) 834-2285
Fax: (404) 445-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN214718 Georgia
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X RN214718 Georgia
Nursing Service Providers / Home Health 163WH0200X RN214718 Georgia
Nursing Service Providers / Hemodialysis 163WH0500X RN214718 Georgia
Nursing Service Providers / Administrator 163WA2000X RN214718 Georgia

Profile Details

NPI number 1851098347
LBN Legal business name Fuller-Crawford, Joanna L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2023
Last updated Feb 14th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1851098347 NPPES
Georgia MEDICAID 003263865

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