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FULLER HEALTH & WELLNESS, LLC
NPI 1699649772
Nurse Practitioner - Family in Fernandina Beach, FL

Active since October 02, 2025
910 S 8TH ST STE 205, FERNANDINA BEACH, FL 32034(904) 895-6433(904) 747-1141 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fuller Health & Wellness, Llc NPPES

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

FULLER HEALTH & WELLNESS, LLC (NPI 1699649772) is a healthcare organization registered as a family in Fernandina Beach, Florida and active in the NPI registry since October 2025. The organization lists Keydella Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1699649772
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFULLER HEALTH & WELLNESS, LLC
Location Address910 S 8TH ST STE 205Fernandina Beach, FL 32034-3771
Mailing Address910 S 8th St Ste 205Fernandina Beach, FL 32034-3771 · (904) 895-6433 · Fax (904) 747-1141
Phone(904) 895-6433
Fax(904) 747-1141
Organization SubpartNo
Authorized OfficialKeydella FullerOwner · (904) 895-6433
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1699649772 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
910 S 8TH ST STE 205, Fernandina Beach, FL 32034
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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

Other Providers at the Same Location NPPES 2

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

PEACE OF MIND AMELIA, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
910 S 8TH ST STE 205
FERNANDINA BEACH, FL 32034
Nassau County (904) 206-0700
THE JOURNEY FOUNDATION, INC.
Home Health
910 S 8TH ST STE 205
FERNANDINA BEACH, FL 32034
Nassau County (904) 365-0346

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 Fuller Health & Wellness, LLC's NPI number?

The NPI number for Fuller Health & Wellness, LLC is 1699649772. It was assigned to this organization in the NPPES registry on October 2, 2025.

Where is Fuller Health & Wellness, LLC located?

Fuller Health & Wellness, LLC is located at 910 S 8th St Ste 205, Fernandina Beach, FL 32034. The listed phone number is (904) 895-6433.

What is Fuller Health & Wellness, LLC'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 Fuller Health & Wellness, LLC was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.