MS. MARCIA DOREEN FULLWOOD ANP/GNP
NPI 1164601225
Nurse Practitioner - Adult Health in East Orange, NJ

Q: What is Marcia Fullwood's NPI number?

The NPI number for Marcia Fullwood is 1164601225. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Q: What is Marcia Fullwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Marcia Fullwood was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 25, 2007

87 WATSON AVE, EAST ORANGE, NJ 07018(862) 520-2371 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Marcia Doreen Fullwood Anp/gnp NPPES

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

MS. MARCIA DOREEN FULLWOOD ANP/GNP (NPI 1164601225) is an individual adult health provider in East Orange, New Jersey, licensed in New York (F304754-1) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1164601225

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. MARCIA DOREEN FULLWOODCredential: ANP/GNP

Location Address87 WATSON AVEEast Orange, NJ 07018-3303

Mailing Address87 Watson AveEast Orange, NJ 07018-3303 · (862) 520-2371

Phone(862) 520-2371

Sole ProprietorYes

Enumeration DateOctober 25, 2007

✔ NPI 1164601225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F304754-1

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F340688-1 (NY)

87 WATSON AVE, East Orange, NJ 07018

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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 Marcia Fullwood's NPI number?

The NPI number for Marcia Fullwood is 1164601225. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Marcia Fullwood located?

Marcia Fullwood practices at 87 Watson Ave, East Orange, NJ 07018. The listed phone number is (862) 520-2371.

What is Marcia Fullwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Marcia Fullwood was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.