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ANGELA FULLER
NPI 1265991764
Nurse Practitioner - Family in Soddy Daisy, TN

Active since March 14, 2019
1923 PORT ROYAL DR, SODDY DAISY, TN 37379(423) 602-1544 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Fuller NPPES

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

ANGELA FULLER (NPI 1265991764) is an individual family provider in Soddy Daisy, Tennessee, licensed in Tennessee (25268) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1265991764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA FULLER
Location Address1923 PORT ROYAL DRSoddy Daisy, TN 37379-8836
Mailing Address1923 Port Royal DrSoddy Daisy, TN 37379-8836
Phone(423) 602-1544
Sole ProprietorYes
Enumeration DateMarch 14, 2019
✔ NPI 1265991764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 25268
1923 PORT ROYAL DR, Soddy Daisy, TN 37379
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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 Angela Fuller's NPI number?

The NPI number for Angela Fuller is 1265991764. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Angela Fuller located?

Angela Fuller practices at 1923 Port Royal Dr, Soddy Daisy, TN 37379. The listed phone number is (423) 602-1544.

What is Angela Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Angela Fuller was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.