MRS. CATINA FULLER
NPI 1407430390
Registered Nurse - Addiction (Substance Use Disorder) in Jackson, MS

Active since May 07, 2021
1935 LAKELAND DR STE 900, JACKSON, MS 39216(601) 718-2468 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Catina Fuller NPPES

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

MRS. CATINA FULLER (NPI 1407430390) is an individual addiction (substance use disorder) provider in Jackson, Mississippi, licensed in Mississippi (901240) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1407430390
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameMRS. CATINA FULLER
Location Address1935 LAKELAND DR STE 900Jackson, MS 39216-5028
Mailing Address1935 Lakeland Dr Ste 900Jackson, MS 39216-5028 · (601) 718-2468
Sole ProprietorNo
Enumeration DateMay 7, 2021
NPPES CertifiedMay 7, 2021
NPI 1407430390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License Licensed in MS · 901240
1935 LAKELAND DR STE 900, Jackson, MS 39216

Other Identifiers 1

Medicaid64126MS

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.

Licensed Practical Nurse
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Counselor (Addiction (Substance Use Disorder))
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Registered Nurse (Addiction (Substance Use Disorder))
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Licensed Practical Nurse
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Counselor (Addiction (Substance Use Disorder))
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Preventive Medicine (Addiction Medicine)
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Licensed Practical Nurse
1935 LAKELAND DR STE 900
JACKSON, MS 39216
Clinic/Center (Methadone)
1935 LAKELAND DR STE 900
JACKSON, MS 39216

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 Catina Fuller's NPI number?

The NPI number for Catina Fuller is 1407430390. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Where is Catina Fuller located?

Catina Fuller practices at 1935 Lakeland Dr Ste 900, Jackson, MS 39216. The listed phone number is (601) 718-2468.

What is Catina Fuller's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Catina Fuller was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.