John D. Fulk, P.A.
Physician Assistant · Normal, IL
UnclaimedP.A.NPI 1063419679
- Primary taxonomy
- 363A00000X
- Enumerated
- 2005-06-29
- Practice location
- Normal, IL
- Last NPPES update
- 2019-04-04
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.