Individual provider · Type 1 NPI

Kimberly Tillman Fulmer

Nurse Practitioner · Metter, GA

NPI number 1780348060 Active

Practice location

34 NW Broad St
Metter, GA 30439-4025

Mailing address

739 Burton Ave
Metter, GA 30439-3303

Other practice locations

  • 856 US Highway 1 S, Swainsboro, GA 30401-4984 · (478) 237-7022

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN139827 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

About NPI 1780348060

Kimberly Tillman Fulmer's National Provider Identifier is 1780348060, issued on Oct 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Metter, GA. The record was last updated on Jan 21, 2026.