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Ieesha Fuller

NPI 1962310110 · on the registry since 2026 · sole proprietor

Practice

Address
5913 Bridgewood Dr
Killeen, TX 76549
Phone
(512) 436-4340

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-31

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 Texas