DR. JESSIE COLTER FULLMER MD
NPI 1013659234
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 08, 2022
121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-8000 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessie Colter Fullmer Md NPPES

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

DR. JESSIE COLTER FULLMER MD (NPI 1013659234) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1013659234
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSIE COLTER FULLMERCredential: MD
Location Address121 DEKALB AVEBrooklyn, NY 11201-5425
Mailing Address121 Dekalb AveBrooklyn, NY 11201-5425
Sole ProprietorYes
Enumeration DateApril 8, 2022
NPPES CertifiedApril 8, 2022
NPI 1013659234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
121 DEKALB AVE, Brooklyn, NY 11201

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.

Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Anesthesiology
121 DEKALB AVE
BROOKLYN, NY 11201

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 Jessie Fullmer's NPI number?

The NPI number for Jessie Fullmer is 1013659234. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Jessie Fullmer located?

Jessie Fullmer practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-8000.

What is Jessie Fullmer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessie Fullmer was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.