FULLER LIFE HEALTH AND WELLNESS
NPI 1396625570
Nurse Practitioner - Primary Care in Bowling Green, KY
About Fuller Life Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULLER LIFE HEALTH AND WELLNESS (NPI 1396625570) is a healthcare organization registered as a primary care in Bowling Green, Kentucky and active in the NPI registry since September 2025. The organization maintains a secondary practice location in Clarkson and lists Kristina Watt Fuller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fuller Life Health And Wellness's NPI number?
The NPI number for Fuller Life Health And Wellness is 1396625570. It was assigned to this organization in the NPPES registry on September 6, 2025.
Where is Fuller Life Health And Wellness located?
Fuller Life Health And Wellness is located at 130 Hunter Ct Ste 3, Bowling Green, KY 42103. The listed phone number is (270) 904-5104.
What is Fuller Life Health And Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
When was this NPI record last updated?
The NPPES record for Fuller Life Health And Wellness was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Fuller Life Health And Wellness · NPI 1396625570
Primary Care organization in Bowling Green, Kentucky. Organization record, active in the CMS NPPES registry since September 6, 2025.
## Identity
- **NPI:** 1396625570 (Entity type: Organization)
- **Enumerated:** September 6, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Kristina Fuller, OWNER
## Practice location
- **Address:** 130 HUNTER CT STE 3, Bowling Green, KY 42103-7032
- **Phone:** (270) 904-5104
## Record status
- **NPPES last updated:** September 6, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1396625570) · Data from the CMS NPPES public registry.