IndividualActive
Ellie Fulgham
NPI 1891474896 · Family Nurse Practitioner · Benton, KY
Provider details
- NPI number
- 1891474896
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4001423 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2607 Main St
Benton, KY 42025-7601
Phone: (731) 394-1145
Approximate (ZIP-level) locationGet directions
Mailing address
4229 US Highway 68 W
Benton, KY 42025-6636
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.