Jennifer Carroll Fuller is an otolaryngology/facial plastic surgery otolaryngology in Loma Linda, CA with 11 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Jennifer Carroll Fuller NPI is 1902149933. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2013
The provider's business location address is:
11234 ANDERSON ST # 2586A
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-7884
The NPI 1902149933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2013 and was last updated on 7/10/2019.