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

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

Active since October 02, 2025
1865 LIME ST STE 103, FERNANDINA BEACH, FL 32034(904) 895-6433(904) 747-1141 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 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 Address1865 LIME ST STE 103Fernandina Beach, FL 32034-4779
Mailing Address1865 Lime St Ste 103Fernandina Beach, FL 32034-4779 · (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
Last NPPES UpdateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ 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
1865 LIME ST STE 103, Fernandina Beach, FL 32034
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Other Providers at the Same Location NPPES 3

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

ANCHORED HOPE LLC
Counselor (Mental Health)
1865 LIME ST STE 103
FERNANDINA BEACH, FL 32034
Nassau County (973) 997-9713
SARAH MINDEDAHL LEACH RCSWI
Social Worker (Clinical)
1865 LIME ST STE 103
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-9145
PATRICK JAMES HANSON
Social Worker (Clinical)
1865 LIME ST STE 103
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-9145

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 1865 Lime St Ste 103, 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 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.