Fullerton, Jesslyn Renay

Fullerton, Jesslyn Renay is an sole proprietor health care provider with primary practice located at 1012 Albemarle St , Bluefield WV 24701-4514. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Fullerton, Jesslyn Renay can be contacted via phone (304) 952-6300.

Contact Information

Primary practice address
1012 Albemarle St Bluefield WV 24701-4514
Phone: (304) 952-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1679233928
LBN Legal business name Fullerton, Jesslyn Renay
Credentials ATRIC, AEAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2021
Last updated Dec 28th, 2021 - about 3 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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