MS. JENNIFER L FULLERTON (NPI# 1982226908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982226908 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER L FULLERTON |
| Practice Address |
1103 Russell Pkwy Warner Robins GA 31088-5537 |
| Mailing Address |
49 Water Front Dr Fort Valley GA 31030-6007 |
| Practice Telephone | 4789224091 |
| Mailing Telephone | 4783964774 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 004979 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568696136 | Jennifer Ann Fullerton | Social Worker | 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615 | 2009-05-11 |
| Street Address |
1103 RUSSELL PKWY |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629009808 | James Charles Smith | Chiropractor | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2006-07-05 |
| 1023628252 | Martha Anne Gurley | Massage Therapist | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-08-03 |
| 1285256214 | Victoria Warner | Massage Therapist | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-05-13 |
| 1013539071 | Veronica Cohen | Registered Nurse | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-05-13 |
| 1114548641 | Nadia Bertin | Massage Therapist | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-05-06 |
| 1770911380 | Smith Spinal Care PC | Chiropractor | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2013-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655053 | James Carlan | Massage Therapist | 1259 Russell Pkwy Ste P, Warner Robins, GA 31088-5585 | 2020-06-27 |
| 1205459641 | Tiffany Warren | Massage Therapist | 2811 Watson Blvd Ste 4, Warner Robins, GA 31093-8593 | 2020-05-20 |
| 1437646775 | Mary Teresa Davis | Massage Therapist | 158 S Houston Lake Rd Ste 3, Warner Robins, GA 31088-8018 | 2018-04-20 |
| 1386079325 | Tonya Delishia Johnson | Massage Therapist | 239 Smithville Church Rd, Warner Robins, GA 31088-6485 | 2013-09-10 |
| 1265787592 | Angela Kaye Newman | Massage Therapist | 1014 Brookley Ave, Warner Robins, GA 31098-1150 | 2012-07-24 |
| 1679828065 | Dena M Davis | Massage Therapist | 107 Bay Ct, Warner Robins, GA 31088-4332 | 2012-07-20 |
| 1023628252 | Martha Anne Gurley | Massage Therapist | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-08-03 |
| 1285256214 | Victoria Warner | Massage Therapist | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-05-13 |
| 1114548641 | Nadia Bertin | Massage Therapist | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-05-06 |
| 1699222893 | Emily Duden | Massage Therapist | 158 S Houston Lake Rd, Ste 2, Warner Robins, GA 31088-8017 | 2016-09-06 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
Please comment or provide details below to improve the information on MS. JENNIFER L FULLERTON.
| 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.