Fuller, Jayme

Fuller, Jayme is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 108 , Anchorage AK 99508-5230. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fuller, Jayme can be contacted via phone (907) 563-3145.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste 108 Anchorage AK 99508-5230
Phone: (907) 563-3145
Fax: (833) 464-5196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 170490 Alaska

Profile Details

NPI number 1306490446
LBN Legal business name Fuller, Jayme
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2019
Last updated Nov 27th, 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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