Individual provider · Type 1 NPI

Ellie Fulmer

Addiction (Substance Use Disorder) Registered Nurse · Greenville, SC

NPI number 1659248763 Active

Practice location

151 Brozzini Ct
Greenville, SC 29615-5340

Mailing address

132 Bagwell Farm Rd
Spartanburg, SC 29302-4451

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X266478 (SC)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1659248763

Ellie Fulmer's National Provider Identifier is 1659248763, issued on Oct 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Greenville, SC. The record was last updated on Oct 24, 2025.