| NPI | 1295221224 |
|---|---|
| Professional Name | JASMINE T FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.163763.MEDS-IV) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |