Mrs. Teawka Fullmore is a Waycross, Georgia based nurse practitioner with 11 years of experience in . She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Teawka Fullmore is RN176193 for Gerontology in Georgia. Her current practice location is 711 Knight Avenue, Waycross. Patients can reach her at 912-283-9423 or can fax her at 912-283-8204. Mrs. Teawka Fullmore is NP-C and her NPI number (Unique professional ID assigned by NPPES) is 1861884215. Mrs. Teawka Fullmore has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Teawka Fullmore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8921310525
Enrollment ID:
I20150710001310
NPI Number:
1861884215
NPI Enumeration Date:
23 Feb, 2015
NPI Last Update On:
26 May, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Teawka Fullmore are as mentioned below.
License Number
Specialization
State
Status
RN176193
Gerontology
Georgia
Primary
RN176193
Nurse Practitioner
Georgia
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Teawka Fullmore is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Christopher Dennis Md Pllc (7416254990)
39
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Teawka Fullmore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CG6045
Other
Georgia
RAILROAD MEDICARE GROUP ID
1144420530
Other
Georgia
MEDICARE GROUP NPI
1861884215
Other
Georgia
MEDICARE NPI
2025I01375
Other
Georgia
MEDICARE PTAN
RN176193
Other
RN STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.