Provider Demographics
NPI:1689370173
Name:FULTON-NELOMS, SCHKENNA YVONNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SCHKENNA
Middle Name:YVONNE
Last Name:FULTON-NELOMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 FAIRWAY VILLAGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8397
Mailing Address - Country:US
Mailing Address - Phone:904-655-7473
Mailing Address - Fax:
Practice Address - Street 1:1275 FAIRWAY VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-8397
Practice Address - Country:US
Practice Address - Phone:904-655-7473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health