Most Relevant Information
Provider Data
| NPI Number: | 1003579681 |
| Provider Name: | SHAYLA FULTON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 3016863 |
Most Important Dates
| Enumeration Date: | 10/20/2021 |
| Last Updated: | 02/07/2023 |
Provider Practice Location
310 S LIMESTONE
LEXINGTON
KY
405083008
Practice Location Phone/Fax
| Phone: | 8592267063 |
| Fax: | 8592267266 |
Provider Mailing Location
115 WALLER AVE STE 209
LEXINGTON
KY
405031035
Provider Mailing Phone/Fax
| Phone: | 8593232374 |
| Fax: |