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MRS. JODIE ANN FULLER LPN
NPI 1528413382
Licensed Practical Nurse in Medina, NY

Active since April 29, 2016
712 ORIENT ST, MEDINA, NY 14103(585) 205-3303 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Jodie Ann Fuller Lpn NPPES

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

MRS. JODIE ANN FULLER LPN (NPI 1528413382) is an individual licensed practical nurse in Medina, New York, licensed in New York (168173-1) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1528413382
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JODIE ANN FULLERCredential: LPN
Location Address712 ORIENT STMedina, NY 14103-1633
Mailing Address712 Orient StMedina, NY 14103-1633 · (585) 205-3303
Phone(585) 205-3303
Sole ProprietorYes
Enumeration DateApril 29, 2016
✔ NPI 1528413382 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 NY · 168173-1
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.
712 ORIENT ST, Medina, NY 14103
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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 Jodie Fuller's NPI number?

The NPI number for Jodie Fuller is 1528413382. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Jodie Fuller located?

Jodie Fuller practices at 712 Orient St, Medina, NY 14103. The listed phone number is (585) 205-3303.

What is Jodie Fuller'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 Jodie Fuller was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.