Fuller, Jill Marie

Fuller, Jill Marie is an individual health care provider with primary practice located at 4950 Buffalo Rd , Erie PA 16510-2304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fuller, Jill Marie can be contacted via phone (814) 898-2576.

Contact Information

Primary practice address
4950 Buffalo Rd Erie PA 16510-2304
Phone: (814) 898-2576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009500 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP009500 Pennsylvania

Profile Details

NPI number 1033223631
LBN Legal business name Fuller, Jill Marie
Credentials MSN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 2nd, 2020 - about 4 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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