Fuller, Jennifer C

Fuller, Jennifer C is an individual health care provider with primary practice located at 125 Metro Center Boulevard Suite 2000, Warwick RI 02886-1768. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fuller, Jennifer C can be contacted via phone (401) 432-2500.

Contact Information

Primary practice address
125 Metro Center Boulevard Suite 2000 Warwick RI 02886-1768
Phone: (401) 432-2500
Fax: (401) 453-8220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104886 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2097 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00355 Rhode Island

Profile Details

NPI number 1538434634
LBN Legal business name Fuller, Jennifer C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Mar 12th, 2019 - about 5 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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