ANGELA FULLER NPI 1265991764

NPI Information

  • NPI: 1265991764
  • Provider Name: ANGELA FULLER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1923 PORT ROYAL DR
    SODDY DAISY, TN
    ZIP 37379
  • Phone: (423) 602-1544

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NPI Details

Angela Fuller is a family nurse practitioner in Soddy Daisy, TN. Angela Fuller NPI is 1265991764. 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:

1923 PORT ROYAL DR
SODDY DAISY, TN
ZIP 37379-836
Phone: (423) 602-1544

The enumeration date for this NPI number is 3/14/2019 and was last updated on 3/14/2019.

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 PractitionerFamily25268TENNESSEEYes

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: 11/21/2025

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