Individual provider · Type 1 NPI
Melissa Dawn Fuller, FNP-C
Family Nurse Practitioner · Chipley, FL
NPI number
1639804529
Active
Practice location
2207 Rockford Dr
Chipley, FL 32428-3004
Mailing address
9489 Lee Road 379
Valley, AL 36854-6686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-112786 (AL) |
| Family Nurse Practitioner | 363LF0000X | 11022480 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639804529
Melissa Dawn Fuller, FNP-C's National Provider Identifier is 1639804529, issued on Jul 24, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chipley, FL. The record was last updated on Jul 27, 2026.