National Provider Identifier
Jodie Ann Fuller, LPN
Jodie Ann Fuller, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (585) 205-3303.
Profile Overview
- NPI
- 1528413382
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 29, 2016
- Last Updated
- April 29, 2016
Practice Location
- 712 Orient St
- Medina, NY 14103-1633
Phone: (585) 205-3303
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1528413382
- Entity Type
- Individual
- Last Name
- Fuller
- First Name
- Jodie
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 712 Orient St
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-1633
- Mailing Country
- US
- Mailing Phone
- (585) 205-3303
- Practice Street Address
- 712 Orient St
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1633
- Practice Country
- US
- Practice Phone
- (585) 205-3303
- Enumeration Date
- April 29, 2016
- Last Updated
- April 29, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)