NPI 1013565613

Justin Fuller, CRNP

Practitioner Family Nurse Practitioner Pell City, AL

Practice location

Address: 70 Plaza Dr, Pell City, AL 35125-9314
Phone: (205) 814-9284
Fax: (205) 814-9626

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 1-131835 (AL)

Other Nurse Practitioner providers in Alabama →

Registry record

NPI: 1013565613
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2019
Record last updated: 28 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.