JEREMY ALEX FULLER (NPI# 1841821162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841821162 |
| Entity Type | Individual |
| Full Name | JEREMY ALEX FULLER |
| Credential | NP |
| Practice Address |
300 W Butler Rd Mauldin SC 29662-2585 |
| Practice Telephone | 8649919016 |
| Mailing Telephone | 8649919016 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23635 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255817680 | Jeremy Lynn Fuller | Nurse Practitioner | 5500 Armstron Rd, Battle Creek, MI 49037 | 2018-07-18 |
| 1780975664 | Jeremy R Fuller | Nurse Anesthetist, Certified Registered | 800 W 5th Ave, Spokane, WA 99204-2803 | 2011-04-26 |
| 1285713156 | Jeremy D Fuller | Emergency Medicine | 1340 Hal Greer Blvd, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-11-03 |
| Street Address |
300 W BUTLER RD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891724951 | Balasubramanyam Krishniah | Internal Medicine | 300 W Butler Rd, Mauldin, SC 29662-2538 | 2006-07-01 |
| 1861031031 | Nicole Marie Clements | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2020-01-05 |
| 1568005072 | Lauren Dardanes Gilman | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2019-10-28 |
| 1447721915 | Heather Christine Turner | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2018-12-10 |
| 1730605254 | Alicia M Ruhland | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2017-08-16 |
| 1669926739 | Aarna Rx LLC | Pharmacy | 300 W Butler Rd, Suite A, Mauldin, SC 29662-2585 | 2016-08-06 |
| 1922484278 | Gsm Home Care,inc | Home Health | 300 W Butler Rd, Suite B, Mauldin, SC 29662-2585 | 2015-08-09 |
| 1144601006 | Nightingale Community Home Care, Ll | In Home Supportive Care | 300 W Butler Rd, Suite B, Mauldin, SC 29662-2585 | 2015-06-16 |
| 1073905378 | Phc Supportive Services LLC | Counselor | 300 W Butler Rd, Suite B, Mauldin, SC 29662-2585 | 2015-02-23 |
| 1770825754 | Elizabeth Cates | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2538 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761000 | Vanessa Latimer Copeland | Nurse Practitioner | 434 Woodbark Ct, Mauldin, SC 29662-3269 | 2018-02-21 |
| 1538509997 | Terry Lynn Verdin | Nurse Practitioner | 793 E Butler Rd, Mauldin, SC 29662-3223 | 2013-07-01 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1861031031 | Nicole Marie Clements | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2020-01-05 |
| 1427693852 | Bridges Medical Group LLC | Nurse Practitioner | 140 Bridges Rd Ste E, Mauldin, SC 29662-3260 | 2019-11-08 |
| 1447721915 | Heather Christine Turner | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2018-12-10 |
| 1730605254 | Alicia M Ruhland | Nurse Practitioner | 300 W Butler Rd, Mauldin, SC 29662-2585 | 2017-08-16 |
| 1407370620 | Stephanie King | Nurse Practitioner | 224 E Butler Rd, Mauldin, SC 29662-2129 | 2017-07-29 |
| 1447592472 | Apryl Michelle Watson | Nurse Practitioner | 211 E Butler Rd Ste C1, Mauldin, SC 29662 | 2013-03-15 |
| 1275674509 | Judith Ann Dawson-weiss | Nurse Practitioner | 224 E Butler Rd, Mauldin, SC 29662-2129 | 2007-02-09 |
| Find all providers in MAULDIN | ||||
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| 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.