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SHELLEY JEAN FULTZ LPN
NPI 1275623910
Licensed Practical Nurse in Grand Forks, ND

Active since October 13, 2006
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201(701) 795-3000(701) 795-3050 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelley Jean Fultz Lpn NPPES

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

SHELLEY JEAN FULTZ LPN (NPI 1275623910) is an individual licensed practical nurse in Grand Forks, North Dakota, licensed in North Dakota (L3849) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1275623910
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHELLEY JEAN FULTZCredential: LPN
Location Address151 S 4TH ST, SUITE 401Grand Forks, ND 58201-4715
Mailing Address151 S 4th St, Suite 401Grand Forks, ND 58201-4715 · (701) 795-3000 · Fax (701) 795-3050
Phone(701) 795-3000
Fax(701) 795-3050
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1275623910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in ND · L3849
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
151 S 4TH ST, Grand Forks, ND 58201
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Other Identifiers 1

Medicaid054519ND

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.

BEVERLY ANN SNYDER RN
Registered Nurse
151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Grand Forks County (701) 795-3084
DONNA JEAN JOHNSON LSW
Social Worker
151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Grand Forks County (701) 795-3000
KRISTI ANDERSON LARSON
Social Worker
151 S 4TH ST, SUITE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 787-8540
KATRINA JOHNSON
Social Worker
151 S 4TH ST, SUITE 201
GRAND FORKS, ND 58201
Grand Forks County (701) 787-8540
MICHELLE MARIE TUPA LSW
Social Worker
151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Grand Forks County (701) 795-3000
COURTNEY HAVILAND LCSW
Social Worker (Clinical)
151 S 4TH ST
GRAND FORKS, ND 58201
Grand Forks County (701) 795-3000
MS. RACHEL A AMBERS LICSW
Social Worker (Clinical)
151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Grand Forks County (701) 795-3000
MARISSA S GRAVELLE
Case Manager/Care Coordinator
151 S 4TH ST, SUITE 401
GRAND FORKS, ND 58201
Grand Forks County (701) 795-3000

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 Shelley Fultz's NPI number?

The NPI number for Shelley Fultz is 1275623910. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Shelley Fultz located?

Shelley Fultz practices at 151 S 4th St Suite 401, Grand Forks, ND 58201. The listed phone number is (701) 795-3000.

What is Shelley Fultz's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shelley Fultz was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.