SearchFlorida101Y00000X

Ieshia Fuller

NPI 1164343968 · on the registry since 2026

Practice

Address
16 Shervis Ln
Havana, FL 32333
Phone
(850) 694-7520

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida