Individual provider · Type 1 NPI

Jessica L. Fultz, NP

Family Nurse Practitioner · Springfield, IL

NPI number 1114445897 Active

Practice location

747 N Rutledge St Fl 4
Springfield, IL 62702-6700

Call (217) 545-8000 Map

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Other practice locations

  • 801 Davis St, Blacksburg, VA 24060-7008 · (540) 961-0218

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.035650 (IL)
Nurse Practitioner 363L00000X0024175078 (VA)
Primary Care Nurse Practitioner 363LP2300X0024175078 (VA)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1114445897

Jessica L. Fultz, NP's National Provider Identifier is 1114445897, issued on Sep 1, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, IL. The record was last updated on Aug 4, 2026.