NPI 1063270197
Tjyunna Fuller
Practice location
- Address
- 720 Foxwood Dr, Jacksonville, AR 72076-2642
- Phone
- (501) 398-8293
- Fax
- (501) 241-2567
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1063270197
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Mar 2024
- Record last updated
- 12 Mar 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.