| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRITTANY WOOTEN FULGHUM | 1730706888 | 2020-07-05 |
Brittany Wooten Fulghum [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Brittany Wooten Fulghum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730706888. Registration indicates Brittany Wooten Fulghum is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 9638592322 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Brittany Wooten Fulghum AGNP |
| Practice Office Address | 2605 FOREST HILLS RD SW WILSON, NC US |
| Practice Office Telephone | 2522437977 |
| Mailing Address | 7522 BENCHMARK RD KENLY, NC 275427813 US |
| Business Telephone | 2522304146 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 5013282
NC |