Mrs Jessica Fultz, FNP-C is a
Nurse Practitioner - Family based in King City, Missouri. Mrs Jessica Fultz is licensed to practice in Missouri (license number F01241111) and her current practice location is
305 Rhode Island St, King City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(913) 638-1348.
NPI number for Mrs Jessica Fultz is 1306603485 and her current mailing address is 305 Rhode Island St, King City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306603485.
Provider's Profile
Full Name | Mrs Jessica Fultz |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 305 Rhode Island St, King City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306603485
- Provider Enumeration Date: 03/05/2024
- Last Update Date: 10/22/2024
Medical Identifiers
Medical identifiers for Mrs Jessica Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306603485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F01241111 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Fultz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jessica Fultz, FNP-C 305 Rhode Island St, King City, MO 64463-9622 Ph: () - | Mrs Jessica Fultz, FNP-C 305 Rhode Island St, King City, MO 64463-9622 Ph: (913) 638-1348 |
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