Provider Demographics
NPI:1346801883
Name:HILL-FULLER, CHRISTY J (CRNP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:J
Last Name:HILL-FULLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:J
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3655 SPRAYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-3956
Mailing Address - Country:US
Mailing Address - Phone:205-577-2371
Mailing Address - Fax:205-814-9626
Practice Address - Street 1:48 CEDARS RD
Practice Address - Street 2:
Practice Address - City:MUNFORD
Practice Address - State:AL
Practice Address - Zip Code:36268-7191
Practice Address - Country:US
Practice Address - Phone:256-358-4553
Practice Address - Fax:256-840-7769
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-149018363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health