Fulton, Virginia Jean
Fulton, Virginia Jean is an individual health care provider with primary practice located at 12254 Rockville Pike , Rockville MD 20852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fulton, Virginia Jean can be contacted via phone (301) 230-2767.Contact Information
Primary practice address
12254 Rockville Pike
Rockville MD 20852
Phone: (301) 230-2767
Fax: (301) 230-2780
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 71003108A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 381890 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 71003108B | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R122264 | Maryland |
Profile Details
NPI number | 1639128739 |
---|---|
LBN Legal business name | Fulton, Virginia Jean |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2006 |
Last updated | Sep 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639128739 | NPPES |
Maryland | MEDICAID | 699367200 |
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