Fulton-Fisette, Debra Ann

Fulton-Fisette, Debra Ann is an individual health care provider with primary practice located at 1400 N Us Highway 441 Ste 810 , The Villages FL 32159-8987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fulton-Fisette, Debra Ann can be contacted via phone (352) 674-8700.

Contact Information

Primary practice address
1400 N Us Highway 441 Ste 810 The Villages FL 32159-8987
Phone: (352) 674-8700
Fax: (352) 674-8714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2044462 Florida

Profile Details

NPI number 1497907547
LBN Legal business name Fulton-Fisette, Debra Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Nov 9th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1497907547 NPPES
Florida Other Y0055 BCBSFL

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