NPI 1013802305

Tianna Jean Fuller, FNPMSN

Practitioner Family Nurse Practitioner South Jordan, UT

Practice location

Address: 9898 S Glasgow Dr, South Jordan, UT 84009-9113
Phone: (208) 409-5273

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 9666776-8900 (UT)

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Registry record

NPI: 1013802305
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2025
Record last updated: 9 Jun 2025

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.