LISA FULKERSON
NPI 1417359555
Registered Nurse in Phoenix, AZ

Q: What is Lisa Fulkerson's NPI number?

The NPI number for Lisa Fulkerson is 1417359555. It was assigned to this individual provider in the NPPES registry on September 19, 2014.

Q: What is Lisa Fulkerson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fulkerson was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 19, 2014

4610 E OSBORN RD, PHOENIX, AZ 85018(480) 484-3500(480) 484-3501 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Fulkerson NPPES

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

LISA FULKERSON (NPI 1417359555) is an individual registered nurse in Phoenix, Arizona, licensed in Arizona (RN180257) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1417359555

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameLISA FULKERSON

Location Address4610 E OSBORN RDPhoenix, AZ 85018-6018

Mailing Address5729 E Danbury RdScottsdale, AZ 85254-5996 · (480) 238-3727

Phone(480) 484-3500

Fax(480) 484-3501

Sole ProprietorNo

Enumeration DateSeptember 19, 2014

✔ NPI 1417359555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in AZ · RN180257

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4610 E OSBORN RD, Phoenix, AZ 85018

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEIDI CRAIG BLOCK RN, BSN

Registered Nurse (School)