MS. TERIA JO FULLER RN NPI 1255845376

NPI Information

NPI: 1255845376
Provider Name: MS. TERIA JO FULLER, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
908 20TH ST S
BIRMINGHAM, AL
ZIP 35205
Phone: (205) 934-0712
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MS. Teria Jo Fuller, RN is a psychiatric/mental health and adult registered nurse in Birmingham, AL. MS. Teria Jo Fuller, RN NPI is 1255845376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

908 20TH ST S
BIRMINGHAM, AL
ZIP 35205-610
Phone: (205) 934-0712

The enumeration date for this NPI number is 11/28/2017 and was last updated on 11/28/2017.

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
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	1-091343	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1041C0700X	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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