Most Relevant Information
Provider Data
NPI Number: | 1003428293 |
Provider Name: | KASHARI FULKS NURSE PRACTITIONER |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | F05200690 |
Most Important Dates
Enumeration Date: | 08/19/2020 |
Last Updated: | 01/12/2022 |
Provider Practice Location
710 JULIAN RD
SALISBURY
NC
281479079
Practice Location Phone/Fax
Phone: | 4703771083 |
Fax: | 7042750771 |
Provider Mailing Location
4312 BOWLINE DR
CHARLOTTE
NC
282693103
Provider Mailing Phone/Fax
Phone: | 7042003450 |
Fax: | 7042750771 |