Jacqueline Fuller is a licensed practical nurse in Southfield, MI. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jacqueline Fuller NPI is 1689049272. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
23598 CIVIC CENTER DR
SOUTHFIELD, MI
ZIP 48033-134
Phone: (248) 469-9821
The enumeration date for this NPI number is 12/8/2015 and was last updated on 12/8/2015.