Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA DAWN FULLER FNP-C
NPI 1639804529
Nurse Practitioner - Family in Chipley, FL

Active since July 24, 2022
2207 ROCKFORD DR, CHIPLEY, FL 32428(334) 524-1969 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Dawn Fuller Fnp-c NPPES

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

MELISSA DAWN FULLER FNP-C (NPI 1639804529) is an individual family provider in Chipley, Florida, licensed in Alabama (1-112786) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1639804529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA DAWN FULLERCredential: FNP-C
Location Address2207 ROCKFORD DRChipley, FL 32428-3004
Mailing Address9489 Lee Road 379Valley, AL 36854-6686 · (234) 524-1969
Sole ProprietorYes
Enumeration DateJuly 24, 2022
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
NPI 1639804529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AL · 1-112786 Licensed in FL · 11022480
2207 ROCKFORD DR, Chipley, FL 32428

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 Melissa Fuller's NPI number?

The NPI number for Melissa Fuller is 1639804529. It was assigned to this individual provider in the NPPES registry on July 24, 2022.

Where is Melissa Fuller located?

Melissa Fuller practices at 2207 Rockford Dr, Chipley, FL 32428. The listed phone number is (334) 524-1969.

What is Melissa Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Melissa Fuller was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.