LISA FULLER


Address: 2410 Boonville Rd, Bryan, TX 77808-2226
Phone: 9796904808

LISA FULLER (NPI# 1932531928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932531928
Entity Type Individual
Full Name LISA FULLER
Credential NP-C
Practice Address 2410 Boonville Rd
Bryan
TX 77808-2226
Practice Telephone 9796904808
Practice Fax Number 9796904809
Mailing Telephone 9796904808
Mailing Fax Number 9796904809
Enumeration Date 2013-08-01
Last Update Date 2015-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
768961 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA FULLER

NPI Name Taxonomy Address Enumeration
1457958746 Lisa Ellen Fuller Nutritionist 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 2020-10-08
1801246210 Lisa Fuller Registered Nurse 25 Laurie Ln, Bridgewater, MA 02324-3539 2016-06-16
1942441092 Lisa Marie Fuller Occupational Therapist 9854 S 43rd Pl, Phoenix, AZ 85044-7528 2009-03-19
1093838781 Lisa Marie Fuller Case Manager/Care Coordinator 211 Blanchard, Mountain View, AR 72560 2007-04-09
1609899947 Lisa Joy Fuller Optometrist 505 Retail Way Ste 118, Louisburg, NC 27549-6480 2006-07-26
1407407372 Lisa Barry Fuller Counselor 1672 Columbia Hwy, Dothan, AL 36303-5434 2019-09-23
1265927057 Lisa Ann Fuller Nurse Practitioner 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 2018-06-25
1215430871 Lisa Fuller Physical Therapist 1375 N Main St, Lapeer, MI 48446-1350 2018-03-09
1760847461 Lisa Fuller Registered Nurse 1600 E Broadway, Columbia, MO 65201-5844 2015-12-22
1366567398 Lisa L Fuller Preventive Medicine 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 2007-03-20

Office Location

Street Address 2410 BOONVILLE RD
City BRYAN
State TX
Zip Code 77808-2226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164634606 Sybil Jane Taquet Family Medicine 2410 Boonville Rd, Bryan, TX 77808-2226 2007-05-04
1932447604 Cali Dudgeon Physician Assistant 2410 Boonville Rd, Bryan, TX 77808-2226 2013-01-30
1093940199 Eric South Family Medicine 2410 Boonville Rd, Bryan, TX 77808-2226 2009-05-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528625605 Erin Anne Reynoso Midwife 10387 Taylor Rd, Bryan, TX 77808 2019-05-23
1811015878 Charity A Karpac Internal Medicine 2410 Boonville Road, Bryan, TX 77808 2007-03-27
1760585194 Aaron Keith Buzzard Emergency Medicine 10485 S Fm 2038, Bryan, TX 77808 2006-09-07
1053834135 Bv Emergency Physicians, Pllc Clinic/Center 2411 Boonville Rd, Bryan, TX 77808 2017-07-20
1326686114 Reed Kristynik Contractor 2502 Clarks Ln Ste 100, Bryan, TX 77808-1333 2019-12-12
1033634423 Julie Ann Stark Registered Nurse 3510 Wakefield Dr, Bryan, TX 77808-1430 2017-08-07
1093958233 Walgreen Co Durable Medical Equipment & Medical Supplies 2350 Boonville Rd, Bryan, TX 77808-2225 2009-04-17
1700114568 Thomas Micheal Hohensee Pharmacist 2350 Boonville Rd, Bryan, TX 77808-2225 2009-12-05
1265760292 Carole L Copeland Pharmacist 2350 Boonville Rd, Bryan, TX 77808-2225 2009-12-02
1710417761 Brazos Valley Er, LLC Clinic/Center 2411 Boonville Rd, Bryan, TX 77808-2231 2017-06-13
Find all providers in zip 77808

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194291898 Jaime Hardy Nurse Practitioner 5873 Easterling Dr, Bryan, TX 77808-7830 2018-10-19
1659859106 Shameka Crump Nurse Practitioner 3201 University Dr E Ste 280, Bryan, TX 77802-3490 2018-08-06
1063931715 Laura Lea Pugh Nurse Practitioner 2700 E 29th St Ste 235, Bryan, TX 77802-2586 2017-09-13
1184147068 Danyel Renae Parker Nurse Practitioner 201 E High St Ste 2, Bryan, OH 43506-1773 2017-07-21
1154872687 Rosantina Broom Nurse Practitioner 3370 S Texas Ave Ste B, Bryan, TX 77802-3127 2016-10-19
1831648690 Teresa Dejesus Ramirez Nurse Practitioner 1307 Hazel St, Bryan, TX 77803-3633 2016-09-22
1265701841 Jennifer M Meaders Nurse Practitioner 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 2011-12-28
1821377300 Wendy J Seneff Nurse Practitioner 2700 E 29th St Ste 325, Bryan, TX 77802-2588 2011-08-15
1497809719 Mary Ellen Pate Nurse Practitioner 3370 S Texas Ave., Suite G, Bryan, TX 77802-3127 2007-01-23
1568423259 James Timothy Gray Nurse Practitioner 3841 Sagebriar, Bryan, TX 77802-6107 2006-03-31
Find all providers in BRYAN

Competitor

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City BRYAN
Zip Code 77808

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Dataset Information

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.

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