JERRICA FULLER


Address: 11 Grand Blvd, Battle Creek, MI 49015-5011
Phone: 2694191753

JERRICA FULLER (NPI# 1205210952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205210952
Entity Type Individual
Full Name JERRICA FULLER
Credential MA, LLPC
Practice Address 11 Grand Blvd
Battle Creek
MI 49015-5011
Practice Telephone 2694191753
Mailing Telephone 2694191753
Enumeration Date 2015-07-13
Last Update Date 2015-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401014554 MI Behavioral Health & Social Service Providers

Office Location

Street Address 11 GRAND BLVD
City BATTLE CREEK
State MI
Zip Code 49015-5011

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1669020897 Marcia Diane Alvarez Technician 515 Country Club Blvd, Battle Creek, MI 49015 2019-08-30
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1962867150 Lee Taylor Kuhn Social Worker 778 W. Columbia Ave, Battle Creek, MI 49015 2015-12-15
1306212022 Teresa Wagner Licensed Practical Nurse 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 2015-08-17
1194101311 Brittany Rene Kruger Legal Medicine 75 Mines Creek Pl, Battle Creek, MI 49015 2015-08-11
1164807103 Timothy Meyer Social Worker 778 W Columbia Ave, Battle Creek, MI 49015 2015-07-20
1932534872 Meggan Rae Volz Physician Assistant 5332 Beckly Road, Battle Creek, MI 49015 2013-09-11
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Find all providers in zip 49015

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477160166 Robin Y Gills Counselor 34 Jackson St W Ste 3b, Battle Creek, MI 49017-3542 2020-09-26
1730736521 Eudemonia, Pllc Counselor 340 Wentworth Ave, Battle Creek, MI 49015-3256 2019-08-26
1649739079 Shannon Gwyn Nixon Counselor 72 North Ave, Battle Creek, MI 49017-3415 2019-03-15
1124596515 Maria Nickell Counselor 181 North Ave, Battle Creek, MI 49017-3467 2018-11-05
1871004549 Paula Susann Warren Counselor 71 S 20th St Ste 102, Battle Creek, MI 49015-2950 2017-10-20
1679098800 Alive At Last Ministries Counselor 71 S 20th St Ste 201, Battle Creek, MI 49015-2950 2017-08-09
1487179685 Tammy Lynn Cairns Counselor 315 Eaton St, Battle Creek, MI 49017-4535 2017-08-08
1679028609 Java Holliday Counselor 44 Clark Rd, Battle Creek, MI 49037-7351 2016-08-19
1043671340 Masters Counseling LLC Counselor 71 S 20th St, Suite 112, Battle Creek, MI 49015-2950 2016-03-14
1811395445 Catharine Cook Counselor 2775 W. Dickman Rd, Suite P-1, Battle Creek, MI 49037 2014-12-14
Find all providers in BATTLE CREEK

Competitor

Search similar providers

City BATTLE CREEK
Zip Code 49015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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