Individual provider · Type 1 NPI

Keydella Fuller, APN

Family Nurse Practitioner · Jacksonville, FL

NPI number 1053855809 Active

Practice location

Uf Health, 15255 Max Leggett Parkway, Suite 3600
Jacksonville, FL 32218

Call (904) 383-1011 Map

Fax (904) 383-1411

Mailing address

15255 Max Leggett Pkwy Ste 3600
Jacksonville, FL 32218-7279

Other practice locations

  • 910 S 8th St Ste 205, Fernandina Beach, FL 32034-3771 · (904) 895-6433

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11012620 (FL)
Family Nurse Practitioner 363LF0000X26NJ00692900 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1053855809

Keydella Fuller, APN's National Provider Identifier is 1053855809, issued on Dec 13, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 25, 2025.