MS. CAROL MARIE FULTON ARNP NPI 1861460115

NPI Information

NPI: 1861460115
Provider Name: MS. CAROL MARIE FULTON, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
655 W 8TH ST
UFJP PEDIATRICS RAINBOW CENTER
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-5248
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MS. Carol Marie Fulton, ARNP is a pediatrics nurse practitioner in Jacksonville, FL. MS. Carol Marie Fulton, ARNP NPI is 1861460115. 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:

655 W 8TH ST
UFJP PEDIATRICS RAINBOW CENTER
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-5248
Fax: (904) 244-5341

The enumeration date for this NPI number is 3/12/2006 and was last updated on 12/16/2009.

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	363LP0200X	Nurse Practitioner	Pediatrics	ARNP1392722	FLORIDA	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
1	Y9021Y	MEDICARE PIN	FLORIDA
2	Y9021Z	MEDICARE PIN	FLORIDA
3	500017096	MEDICARE PIN	FLORIDA
4	P22652	MEDICARE UPIN	FLORIDA
5	3028917-00	MEDICAID	FLORIDA
6	092535513A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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