Individual provider · Type 1 NPI
Tammy Lynn Fuller, APRN
Family Nurse Practitioner · New Smyrna Beach, FL
NPI number
1619614930
Active
Practice location
161 N. Causeway Ste. C
New Smyrna Beach, FL 32169
Fax (386) 426-8839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11018505 (FL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1619614930
Tammy Lynn Fuller, APRN's National Provider Identifier is 1619614930, issued on May 18, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Sep 29, 2025.