JILL ELIZABETH FULLER (NPI# 1154574416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154574416 |
| Entity Type | Individual |
| Full Name | JILL ELIZABETH FULLER |
| Credential | FNP-BC |
| Practice Address |
1022 Storrs Rd Storrs Mansfield CT 06268-2633 |
| Practice Telephone | 8604299321 |
| Practice Fax Number | 8604294775 |
| Mailing Telephone | 8604299321 |
| Mailing Fax Number | 8604294775 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2013-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5403 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060134 | Jill Fuller | Occupational Therapy Assistant | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2007-02-15 |
| 1033223631 | Jill Marie Fuller | Nurse Practitioner | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2006-08-19 |
| 1871576744 | Jill C Fuller | Family Medicine | 33431 13th Pl S, Federal Way, WA 98003-6357 | 2005-11-23 |
| Street Address |
1022 STORRS RD |
| City | STORRS MANSFIELD |
| State | CT |
| Zip Code | 06268-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356374508 | Rosemary Ijeoma Maduka | Family Medicine | 1022 Storrs Rd, Suite 1, Storrs Mansfield, CT 06268-2639 | 2006-07-09 |
| 1346412053 | Storrs Family Medicine | Family Medicine | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2008-04-02 |
| 1669598231 | James J Raynor | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2007-03-22 |
| 1871619635 | Louis G Cano | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2007-03-22 |
| 1851417620 | Matthew J Raynor | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2007-03-22 |
| 1407968050 | Richard Paul Dibala | Family Medicine | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2006-08-31 |
| 1083635817 | Raynor-cano | Dentist | 1022 Storrs Rd, Storrs Mansfield, CT 06268-2639 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354401 | Brandon Hallaway | Specialist/Technologist | 2098 Hillside Rd, Storrs, CT 06268 | 2020-10-21 |
| 1952965196 | Kelsey Rankin | Kinesiotherapist | 100 Jim Calhoun Way, Storrs, CT 06268 | 2019-04-23 |
| 1215312137 | Patricia M Baker | Social Worker | 945 Storrs Rd, Storrs Mansfield, CT 06268 | 2015-07-21 |
| 1760866719 | Loving Hands Chiropractic LLC | Chiropractor | 1733 Storrs Rd Ste 11, Storrs, CT 06268 | 2015-07-18 |
| 1073939336 | Price Chopper Inc | Pharmacy | 1220 Storrs Road, Storrs Mansfield, CT 06268 | 2014-03-11 |
| 1770827776 | Annmarie Green Bolduc | Nurse Practitioner | 1 Royce Circle, Ste 104, Uconn Medical Group, Storrs, CT 06268 | 2012-11-15 |
| 1922251859 | Kimberly A Barton | Psychologist | 1066 Storrs Rd., Suite E, Storrs, CT 06268 | 2008-10-22 |
| 1639335813 | Michael Thomas Hurlock | Counselor | 9 Dunham Pond Road, Storrs, CT 06268 | 2008-08-06 |
| 1013183979 | Jean Ann Kenny | Social Worker | 17 Lynwood Rd, Storrs, CT 06268 | 2008-05-01 |
| 1790962397 | Hans L Franzen | Marriage & Family Therapist | 1066 Storrs Road, Storrs, CT 06268 | 2008-01-25 |
| Find all providers in zip 06268 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | STORRS MANSFIELD |
| Zip Code | 06268 |
Please comment or provide details below to improve the information on JILL ELIZABETH FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.