| NPI | 1770849127 |
|---|---|
| Former Name | LINDA RUTH FULLINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN16616) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN RN159881) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-05-04 |