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JESSLYN RENAY FULLERTON ATRIC, AEAC
NPI 1679233928
Recreation Therapist in Bluefield, WV

Active since December 28, 2021
1012 ALBEMARLE ST, BLUEFIELD, WV 24701(304) 952-6300 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesslyn Renay Fullerton Atric, Aeac NPPES

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

JESSLYN RENAY FULLERTON ATRIC, AEAC (NPI 1679233928) is an individual recreation therapist in Bluefield, West Virginia and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1679233928
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameJESSLYN RENAY FULLERTONCredential: ATRIC, AEAC
Location Address1012 ALBEMARLE STBluefield, WV 24701-4514
Mailing Address1012 Albemarle StBluefield, WV 24701-4514 · (304) 952-6300
Phone(304) 952-6300
Sole ProprietorYes
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1679233928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
1012 ALBEMARLE ST, Bluefield, WV 24701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jesslyn Fullerton's NPI number?

The NPI number for Jesslyn Fullerton is 1679233928. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Jesslyn Fullerton located?

Jesslyn Fullerton practices at 1012 Albemarle St, Bluefield, WV 24701. The listed phone number is (304) 952-6300.

What is Jesslyn Fullerton's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Jesslyn Fullerton was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.