Provider Demographics
NPI:1295867984
Name:FULLER, FRANCES T (ARNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:T
Last Name:FULLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1766
Mailing Address - Country:US
Mailing Address - Phone:251-928-1191
Mailing Address - Fax:251-928-4529
Practice Address - Street 1:770 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1766
Practice Address - Country:US
Practice Address - Phone:251-928-1191
Practice Address - Fax:251-928-4529
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2855602363LF0000X
FLARNP2855602363L00000X
AL1-036855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 2855602OtherNURSE PRACTITIONER