Individual provider · Type 1 NPI
Shannon Fultz, NP
Nurse Practitioner · Providence, RI
Practice location
593 Eddy St
Providence, RI 02903-4923
Fax (401) 444-2788
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN02454 (RI) |
| Nurse Practitioner Primary | 363L00000X | APRN02454 (RI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1023601069
Shannon Fultz, NP's National Provider Identifier is 1023601069, issued on Feb 19, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Jul 29, 2026.