JACLYN NICOLE FULLER (NPI# 1851668271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851668271 |
| Entity Type | Individual |
| Full Name | JACLYN NICOLE FULLER |
| Credential | CRNP |
| Practice Address |
1010 1st Street North Suite 112 Alabaster AL 35007 |
| Mailing Address |
513 Brookwood Blvd Suite 401 Birmingham AL 35209 |
| Practice Telephone | 2056631023 |
| Practice Fax Number | 2058707107 |
| Mailing Telephone | 2058700256 |
| Mailing Fax Number | 2058707107 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-108712 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1010 1ST STREET NORTH SUITE 112 |
| City | ALABASTER |
| State | AL |
| Zip Code | 35007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033371323 | Nopporn Unnoppet | Internal Medicine | 1010 1st Street North, Ste 210, Alabaster, AL 35007 | 2008-06-27 |
| 1588952774 | Erin C Tanner | Nurse Practitioner | 1010 1st Street North, Suite 112, Alabaster, AL 35007 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713167 | Jenifer Justice | Nurse Practitioner | 145 Sundance, Alabaster, AL 35007 | 2018-03-15 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| 1104345222 | William Alexander Woodard | Nurse Practitioner | 300 1st Street North Ste. C, Alabaster, AL 35007 | 2017-09-11 |
| 1891219432 | Alabama Dental Professionals, PC | Dentist | 9100 Highway 119, Alabaster, AL 35007 | 2017-07-26 |
| 1316389950 | Wellscripts,inc | Pharmacy | 205 Clover Dale Cir, Alabaster, AL 35007 | 2013-07-24 |
| 1366704991 | Lindsey Estelle Matthews | Pathology | 1004 1st St N Ste 200, Alabaster, AL 35007 | 2012-06-11 |
| 1760707061 | Robert Mcgowin Blake | Massage Therapist | 643 First Street North, Alabaster, AL 35007 | 2010-03-30 |
| 1881870673 | Renee W Smith | Counselor | 76-b Fulton Spring Dr, Alabaster, AL 35007 | 2008-01-11 |
| 1235334459 | Naomi Hill Washington | Family Medicine | 1000 1st Ave N, Alabaster, AL 35007 | 2007-06-18 |
| 1578785762 | Aye Unnoppet D.o., P.C. | Family Medicine | 644 2nd Street, Suite 104, Alabaster, AL 35007 | 2007-05-03 |
| Find all providers in zip 35007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| 1295361368 | Brenda Ferguson Sample | Nurse Practitioner | 273 King Arthur Pl, Alabaster, AL 35007-9115 | 2020-03-20 |
| 1043713167 | Jenifer Justice | Nurse Practitioner | 145 Sundance, Alabaster, AL 35007 | 2018-03-15 |
| 1104345222 | William Alexander Woodard | Nurse Practitioner | 300 1st Street North Ste. C, Alabaster, AL 35007 | 2017-09-11 |
| 1104226851 | Jennifer Gafnea | Nurse Practitioner | 300 1st St N Ste C, Alabaster, AL 35007-8764 | 2014-09-01 |
| 1013475508 | James Bradley Maddox | Nurse Practitioner | 1000 1st St N, Alabaster, AL 35007-8703 | 2019-03-04 |
| 1649749797 | Anne Townsend Froemming | Nurse Practitioner | 615 1st St N, Alabaster, AL 35007-8892 | 2018-11-19 |
| 1881162436 | Kristen Mcdonald Steele | Nurse Practitioner | 1000 1st St N, Alabaster, AL 35007-8703 | 2018-11-12 |
| 1780129775 | Kirsten Maureen Larsen-vansant | Nurse Practitioner | 1022 1st St N Ste 500, Alabaster, AL 35007 | 2016-12-29 |
| Find all providers in ALABASTER | ||||
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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.