Individual provider · Type 1 NPI

Kelly R. Fuller, FNP-C

Nurse Practitioner · Danville, VA

NPI number 1992307201 Active

Practice location

2344 Riverside Dr
Danville, VA 24540-4212

Mailing address

PO Box 8310
Roanoke, VA 24014-0310

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024180000 (VA)

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…

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About NPI 1992307201

Kelly R. Fuller, FNP-C's National Provider Identifier is 1992307201, issued on Nov 11, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Danville, VA. The record was last updated on Nov 11, 2020.