NPI 1679233928
Jesslyn Renay Fullerton, ATRICAEAC
Practice location
- Address
- 1012 Albemarle St, Bluefield, WV 24701-4514
- Phone
- (304) 952-6300
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1679233928
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Dec 2021
- Record last updated
- 28 Dec 2021
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.