| Jennifer Lee Fuller, APRN-CNP | |
|
1302 S Lynn Ln, Idabel, OK 74745-6860 | |
| (580) 286-3993 | |
| Not Available |
| Full Name | Jennifer Lee Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1302 S Lynn Ln, Idabel, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245803345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 204314 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health Of Southeast Oklahoma | Hugo, OK | Home health agency |
| Mays Housecall Home Health Of South East Ok, Llc | Idabel, OK | Home health agency |
| Mccurtain Memorial Hospital | Idabel, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walkup Family Medicine Clinic Llc | 6507279171 | 2 |
| Entity Name | Walkup Family Medicine Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508461856 PECOS PAC ID: 6507279171 Enrollment ID: O20201229001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lee Fuller, APRN-CNP 1302 S Lynn Ln, Idabel, OK 74745-6860 Ph: (580) 286-3993 | Jennifer Lee Fuller, APRN-CNP 1302 S Lynn Ln, Idabel, OK 74745-6860 Ph: (580) 286-3993 |
Jane M Harmon, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 S Central Ave Ste 2, Idabel, OK 74745 Phone: 580-236-9886 | |
Ms. Megan Brooke Lewis, APRN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lynn Ln, Idabel, OK 74745 Phone: 580-286-6628 Fax: 580-286-2012 | |
Natausha Shauntrece Walker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 805 E Washington St, Idabel, OK 74745 Phone: 580-286-1095 Fax: 580-286-3122 | |
Mrs. Ramona Lynn Goolsby, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Se Washington St, Idabel, OK 74745 Phone: 580-286-6699 Fax: 580-286-6699 | |
Dwala Gibson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 902 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-2600 Fax: 580-286-1087 | |
Heather N England, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 S Lynn Ln, Idabel, OK 74745 Phone: 580-245-7024 Fax: 855-576-4102 |