MR. JACOB DEAN FULLER LPN
NPI 1720423536
Licensed Practical Nurse in Springfield, OR
About Mr. Jacob Dean Fuller Lpn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB DEAN FULLER LPN (NPI 1720423536) is a licensed practical nurse provider in Springfield, Oregon, licensed in Oregon (201230678LPN) and active in the NPI registry since May 2013.Information from the official NPPES registry record, last updated May 7, 2013.
NPPES Registry Identity
★ Primary Specialty
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… Show more
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720423536, enumerated as an "individual" on May 07, 2013.
The provider is located at 3333 RIVERBEND DR SPRINGFIELD, OR 97477 and the phone number is (877) 350-7430.
Licensed Practical Nurse with taxonomy code 164W00000X.