JUSTIN FULLER CRNP NPI 1013565613

NPI Information

  • NPI: 1013565613
  • Provider Name: JUSTIN FULLER, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 70 PLAZA DR
    PELL CITY, AL
    ZIP 35125
  • Phone: (205) 814-9284

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NPI Details

Justin Fuller, CRNP is a family nurse practitioner in Pell City, AL. Justin Fuller, CRNP NPI is 1013565613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

70 PLAZA DR
PELL CITY, AL
ZIP 35125-314
Phone: (205) 814-9284
Fax: (205) 814-9626

The NPI 1013565613 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 8/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1-131835ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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