Fuller, Kelly
Fuller, Kelly is an individual health care provider with primary practice located at 400 E Sheridan Rd , Melbourne FL 32901-3184. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fuller, Kelly can be contacted via phone (321) 722-5200.Contact Information
Primary practice address
400 E Sheridan Rd
Melbourne FL 32901-3184
Phone: (321) 722-5200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | APRN11000259 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | APRN11000259 | Florida |
Profile Details
NPI number | 1144793407 |
---|---|
LBN Legal business name | Fuller, Kelly |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2019 |
Last updated | Feb 28th, 2024 - about 7 months 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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