MS. SUZANNE A. FULLAR RN MSN PNP NPI 1295854115

NPI Information

  • NPI: 1295854115
  • Provider Name: MS. SUZANNE A. FULLAR, RN, MSN, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 669 S. HAYWOOD ST.
    JACKSON COUNTY PSYCHOLOGICAL SERVICES
    WAYNESVILLE, NC
    ZIP 28786
  • Phone: (828) 456-2997

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NPI Details

MS. Suzanne A. Fullar, RN, MSN, PNP is a pediatrics nurse practitioner in Waynesville, NC. MS. Suzanne A. Fullar, RN, MSN, PNP NPI is 1295854115. 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:

669 S. HAYWOOD ST.
JACKSON COUNTY PSYCHOLOGICAL SERVICES
WAYNESVILLE, NC
ZIP 28786
Phone: (828) 456-2997
Fax: (828) 456-2996

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/28/2012.

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
1363LP0200XNurse PractitionerPediatrics300031NORTH CAROLINAYes

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
17004794MEDICAIDNORTH CAROLINA

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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