JENNIFER FULLER (NPI# 1790150084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790150084 |
| Entity Type | Individual |
| Full Name | JENNIFER FULLER |
| Practice Address |
9618 N 36th St Phoenix AZ 85028-4938 |
| Practice Telephone | 4804666699 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN170543 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| 1952787046 | Jennifer Fuller | Specialist | 75-5995 Kuakini Hwy Ste 603, Kailua Kona, HI 96740-2124 | 2015-07-31 |
| 1902149933 | Jennifer Carroll Fuller | Otolaryngology | 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 | 2013-03-27 |
| 1861784571 | Jennifer D Fuller | Counselor | 304 W Baseline Rd, Lafayette, CO 80026-1719 | 2011-05-12 |
| 1831364108 | Jennifer Renee Fuller | Dentist | 334 Livernois St, Ferndale, MI 48220-2302 | 2008-04-28 |
| 1053962647 | Jennifer Fuller | Social Worker | 2652 Spring Arbor Rd, Jackson, MI 49203-3604 | 2019-09-25 |
| 1316501927 | Jennifer Quinn Fuller | Counselor | 7701 N Lamar Blvd Ste 206, Austin, TX 78752-1022 | 2019-04-29 |
| 1538637095 | Jennifer Fuller | Marriage & Family Therapist | 21335 Signal Hill Plz Ste 270, Sterling, VA 20164-5567 | 2018-11-02 |
| 1326529090 | Jennifer Fuller | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2018-08-22 |
| 1992186621 | Jennifer Fuller | Behavioral Analyst | 224 Nazareth Pike, Trolley Station Mall Suite 22a, Bethlehem, PA 18020-9080 | 2015-06-18 |
| Street Address |
9618 N 36TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235602699 | Sharon Gasch | Registered Nurse | 3905 E Monte Cristo Ave, Phoenix, AZ 85032-4065 | 2019-01-09 |
| 1477024461 | Rosie Higuera | Registered Nurse | 7731 W Flower St, Phoenix, AZ 85033-4944 | 2018-12-17 |
| 1588163687 | Alma Cecilia Elizarraraz | Registered Nurse | 1234 E Northern Ave, Phoenix, AZ 85020-4274 | 2018-02-05 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1417329897 | Kelly Criswell | Registered Nurse | 32150 N North Foothills Dr, Phoenix, AZ 85085 | 2015-10-26 |
| 1598161416 | Elise Corriveau | Registered Nurse | 1611 W Fillmore St, Phoenix, AZ 85007-2214 | 2014-11-05 |
| 1356740088 | Soledad Villalobos | Registered Nurse | 14238 N 34th Way, Phoenix, AZ 85032-5340 | 2014-08-19 |
| 1982003034 | Staci Motley | Registered Nurse | 7150 N 22nd St, Phoenix, AZ 85020-5605 | 2014-08-14 |
| 1770990871 | Chase Warren-ojameruaye | Registered Nurse | 1224 E Angela Dr, Phoenix, AZ 85022-2081 | 2014-07-21 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.