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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497907547 | NPPES |
Florida | Other | Y0055 | BCBSFL |
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