Fuller, Jessica

Fuller, Jessica is an individual health care provider with primary practice located at 7503 Surratts Rd Medstar Southern Md Hospital Center Emergency Dept, Clinton MD 20735-3358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fuller, Jessica can be contacted via phone (301) 868-8000.

Contact Information

Primary practice address
7503 Surratts Rd Medstar Southern Md Hospital Center Emergency Dept Clinton MD 20735-3358
Phone: (301) 868-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0005818 Maryland

Profile Details

NPI number 1376926352
LBN Legal business name Fuller, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Jul 8th, 2015 - about 9 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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