MR. JACOB DEAN FULLER LPN
NPI 1720423536
Licensed Practical Nurse in Springfield, OR

Active since May 07, 2013
3333 RIVERBEND DR, SPRINGFIELD, OR 97477(877) 350-7430 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Jacob Dean Fuller Lpn NPPES

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

MR. JACOB DEAN FULLER LPN (NPI 1720423536) is a licensed practical nurse provider in Springfield, Oregon, licensed in Oregon (201230678LPN) and active in the NPI registry since May 2013.Information from the official NPPES registry record, last updated May 7, 2013.

NPPES Registry Identity

NPI1720423536
Entity TypeIndividualMale
Provider Legal NameMR. JACOB DEAN FULLERCredential: LPN
Location Address3333 RIVERBEND DRSpringfield, OR 97477-8800
Mailing Address585 36th StSpringfield, OR 97478-5789 · (541) 513-5518
Sole ProprietorYes
Enumeration DateMay 7, 2013
NPI 1720423536 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Licensed Practical Nurse

Taxonomy 164W00000X · Nursing Service Providers

Licensed in OR · 201230678LPN Licensed in WV · 28704

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… Show more

3333 RIVERBEND DR, Springfield, OR 97477

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

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3333 RIVERBEND DR
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3333 RIVERBEND DR, SLEEP DISORDER CENTER
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Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477
Anesthesiology
3333 RIVERBEND DR
SPRINGFIELD, OR 97477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720423536, enumerated as an "individual" on May 07, 2013.

The provider is located at 3333 RIVERBEND DR SPRINGFIELD, OR 97477 and the phone number is (877) 350-7430.

Licensed Practical Nurse with taxonomy code 164W00000X.