Individual provider · Type 1 NPI
Eli Jacob Fulfer
Psychiatric/Mental Health Nurse Practitioner · Springdale, AR
NPI number
1629848098
Active
Practice location
609 W Maple Ave
Springdale, AR 72764-5335
Mailing address
3109 S 28th Pl Apt 1
Rogers, AR 72758-4720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 213657 (AR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 213657 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629848098
Eli Jacob Fulfer's National Provider Identifier is 1629848098, issued on Jan 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Springdale, AR. The record was last updated on Jun 11, 2025.