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JEFFERY FULLER M.D.
NPI 1003827601
Emergency Medicine in Monroe, LA

Active since August 10, 2006
4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES, MONROE, LA 71202(318) 675-7737(318) 675-5666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffery Fuller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY FULLER M.D. (NPI 1003827601) is an individual emergency medicine provider in Monroe, Louisiana, licensed in Louisiana (018474) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1003827601
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEFFERY FULLERCredential: M.D.
Location Address4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICESMonroe, LA 71202-6400
Mailing Address1501 Kings Hwy, Managed CareShreveport, LA 71103 · (318) 675-7737 · Fax (318) 675-5666
Phone(318) 675-7737
Fax(318) 675-5666
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003827601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 018474
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4864 JACKSON ST, Monroe, LA 71202
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Other Identifiers 3

Medicaid1357723LA
Medicare ID-Type Unspecified51120F600LA
Medicare UPINC67403LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDDYE BLOSSOM II MD
Obstetrics & Gynecology
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
MISS KANDICE NICOLE HUNTER APRN, AGNP
Nurse Practitioner
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7000
HARNOOR SANDHU
Student in an Organized Health Care Education/Training Program
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7600
DR. WILLIAM TODD YATES MD
Family Medicine
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
SHANKAR NADESAN MD
Student in an Organized Health Care Education/Training Program
4864 JACKSON ST, DEPT. OF FAMILY MEDICINE
MONROE, LA 71202
Ouachita Parish (318) 330-7615
ANN MARIE CLACK WHNP
Nurse Practitioner (Women's Health)
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7000
MR. JONATHAN D BREWER PA
Physician Assistant (Medical)
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 330-7626
CALEY WORLEY
Nurse Anesthetist, Certified Registered
4864 JACKSON ST
MONROE, LA 71202
Ouachita Parish (318) 626-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Fuller's NPI number?

The NPI number for Jeffery Fuller is 1003827601. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jeffery Fuller located?

Jeffery Fuller practices at 4864 Jackson St Department Of Emergency Medical Services, Monroe, LA 71202. The listed phone number is (318) 675-7737.

What is Jeffery Fuller's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jeffery Fuller was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.