DAVID GLENN FULGHUM (NPI# 1699881698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699881698 |
| Entity Type | Individual |
| Full Name | DAVID GLENN FULGHUM |
| Credential | FNP-BC |
| Practice Address |
305 Highway 62 E Mountain Home AR 72653-3655 |
| Mailing Address |
806 E Main St Flippin AR 72634 |
| Practice Telephone | 8704250176 |
| Practice Fax Number | 8704250196 |
| Mailing Telephone | (870) 453-2266 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A003021 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN7249 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2005012311 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 HIGHWAY 62 E |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922488014 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 305 Highway 62 E, Mountain Home, AR 72653-3655 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346862 | Tosha Marie Applegate | Nurse Practitioner | 8606 Highway 201 N, Mountain Home, AR 72653-8291 | 2019-09-21 |
| 1831665744 | Cindy A Brown | Nurse Practitioner | 628 Hospital Dr Ste A, Mountain Home, AR 72653-2953 | 2018-10-17 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1740720598 | Cindy Conway | Nurse Practitioner | 809 Lamont Steet, Mountain Home, TN 37684 | 2017-02-27 |
| 1336695360 | Meredith Chapa | Nurse Practitioner | 405 Buttercup, Mountain Home, AR 72653-4838 | 2016-08-30 |
| 1477980191 | Hayley N Greer Adams | Nurse Practitioner | Moutain Home Va Healthcare System, Lamont & Veterans Way, Mountain Home, TN 37684-3768 | 2013-09-27 |
| 1760718514 | Preferred Medical Associates LLC | Nurse Practitioner | 40 Plaza Way, Suite 30, Mountain Home, AR 72653-9265 | 2009-10-29 |
| 1902038961 | Brandi Dawn Anderson | Nurse Practitioner | 628 Hospital Drive, Sutie 3a, Mountain Home, AR 72653 | 2009-08-10 |
| 1275665473 | Richard Fredrick Starkey Md | Nurse Practitioner | 806 North 6th East, Mountain Home, ID 83647-0427 | 2007-03-12 |
| 1144274069 | Rebecca Snyder Moss | Nurse Practitioner | Dogwood Ave, Building 160, Mountain Home, TN 37684 | 2006-05-22 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on DAVID GLENN FULGHUM.
| 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.