COURTNEY FULLER PMHNP-BC
NPI 1235024951
Nurse Practitioner - Psychiatric/Mental Health in Statesboro, GA

Active since June 11, 2025
1332 SOUTHERN DR, STATESBORO, GA 30460(912) 901-7489 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Fuller Pmhnp-bc NPPES

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

COURTNEY FULLER PMHNP-BC (NPI 1235024951) is an individual psychiatric/mental health provider in Statesboro, Georgia, licensed in Georgia (RN264235) and active in the NPI registry since June 2025. She maintains a secondary practice location in Jesup.

NPPES Registry Identity

NPI1235024951
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOURTNEY FULLERCredential: PMHNP-BC
Location Address1332 SOUTHERN DRStatesboro, GA 30460-1360
Mailing Address1332 Southern DrStatesboro, GA 30460-1360
Sole ProprietorYes
Enumeration DateJune 11, 2025
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1235024951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in GA · RN264235
1332 SOUTHERN DR, Statesboro, GA 30460

Secondary Practice Location 1

Location 1191 SE Broad StJesup, GA 31546-4628 · Phone (912) 559-2710 · Fax (912) 216-3672

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.

Registered Nurse (Neonatal Intensive Care)
1332 SOUTHERN DR
STATESBORO, GA 30460
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Specialist/Technologist (Athletic Trainer)
1332 SOUTHERN DR
STATESBORO, GA 30460
Specialist/Technologist (Athletic Trainer)
1332 SOUTHERN DR
STATESBORO, GA 30460
Specialist/Technologist (Athletic Trainer)
1332 SOUTHERN DR
STATESBORO, GA 30460
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460
Student in an Organized Health Care Education/Training Program
1332 SOUTHERN DR
STATESBORO, GA 30460

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 Courtney Fuller's NPI number?

The NPI number for Courtney Fuller is 1235024951. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Courtney Fuller located?

Courtney Fuller practices at 1332 Southern Dr, Statesboro, GA 30460. The listed phone number is (912) 901-7489.

What is Courtney Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Courtney Fuller was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.