MARTIA JERONDA FULLER NPI 1780150011

NPI Information

NPI: 1780150011
Provider Name: MARTIA JERONDA FULLER
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC
ZIP 28262
Phone: (704) 208-4458
Get Directions

Martia Jeronda Fuller is a professional counselor in Charlotte, NC. Martia Jeronda Fuller NPI is 1780150011. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC
ZIP 28262-700
Phone: (704) 208-4458
Fax: (866) 309-6385

The enumeration date for this NPI number is 10/14/2018 and was last updated on 1/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	A14117	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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