JERRICA FULLER (NPI# 1205210952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401014554 | MI | Behavioral Health & Social Service Providers |
Street Address |
11 GRAND BLVD |
City | BATTLE CREEK |
State | MI |
Zip Code | 49015-5011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
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 |
1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
Find all providers in zip 49015 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
City | BATTLE CREEK |
Zip Code | 49015 |
Please comment or provide details below to improve the information on JERRICA FULLER.
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.