1. Home
  2. Directory
  3. Tennessee
  4. Tullahoma
  5. Licensed Practical Nurse
  6. NPI Profile

KELLY G FULLER LPN
NPI 1861127946
Licensed Practical Nurse in Tullahoma, TN

Active since July 21, 2022
615 WILSON AVE, TULLAHOMA, TN 37388(931) 455-9369 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly G Fuller Lpn NPPES

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

KELLY G FULLER LPN (NPI 1861127946) is an individual licensed practical nurse in Tullahoma, Tennessee, licensed in Tennessee (95880) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1861127946
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY G FULLERCredential: LPN
Location Address615 WILSON AVETullahoma, TN 37388-3264
Mailing Address55 Peyton RdPetersburg, TN 37144-7753 · (931) 675-2343
Phone(931) 455-9369
Sole ProprietorNo
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1861127946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TN · 95880
Definition
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 certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
615 WILSON AVE, Tullahoma, TN 37388
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

LUCHINDA SUITER LPN
Licensed Practical Nurse
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
REBECCA ANN RICHARDSON RN
Registered Nurse (Community Health)
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
CRYSTAL MARIE COOKE RN
Registered Nurse
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
SHERRI ANN HILL
Licensed Practical Nurse
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
MRS. PAMELA FAYE NORTHCUTT
Nurse's Aide
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
DUSTI LOUISE PATTON BSN, RN
Registered Nurse (Community Health)
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
STATE OF TENNESSEE
Public Health or Welfare
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369
CORINNE ANN TROUPE R.N.
Registered Nurse
615 WILSON AVE
TULLAHOMA, TN 37388
Coffee County (931) 455-9369

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 Kelly Fuller's NPI number?

The NPI number for Kelly Fuller is 1861127946. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Kelly Fuller located?

Kelly Fuller practices at 615 Wilson Ave, Tullahoma, TN 37388. The listed phone number is (931) 455-9369.

What is Kelly Fuller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Fuller was last updated on July 21, 2022. 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.