Fuller, Jill Elizabeth
Fuller, Jill Elizabeth is an individual health care provider with primary practice located at 1022 Storrs Rd , Storrs Mansfield CT 06268-2633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Jill Elizabeth can be contacted via phone (860) 429-9321.Contact Information
Primary practice address
1022 Storrs Rd
Storrs Mansfield CT 06268-2633
Phone: (860) 429-9321
Fax: (860) 429-4775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5403 | Connecticut |
Profile Details
NPI number | 1154574416 |
---|---|
LBN Legal business name | Fuller, Jill Elizabeth |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 30th, 2008 |
Last updated | Aug 15th, 2013 - about 11 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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