NPI 1003653163

Samantha a Fulse

Practitioner Home Health Aide Yulee, FL

Practice location

Address: 97109 Pirates Point Rd, Yulee, FL 32097-6533
Phone: (904) 901-1718
Mailing address: 201 J Nolan Wells Rd APT E306, Kingsland, GA 31548-6854

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence CN0028905888 (GA)

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Registry record

NPI: 1003653163
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2024
Record last updated: 15 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.