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DESTINY FULLER LPN
NPI 1972108256
Licensed Practical Nurse in Macon, GA

Active since December 03, 2020
1389 JACKSON ST, MACON, GA 31201(478) 305-9558 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Destiny Fuller Lpn NPPES

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

DESTINY FULLER LPN (NPI 1972108256) is an individual licensed practical nurse in Macon, Georgia, licensed in Georgia (LPN098619) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1972108256
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDESTINY FULLERCredential: LPN
Location Address1389 JACKSON STMacon, GA 31201-2207
Mailing Address1389 Jackson StMacon, GA 31201-2207
Phone(478) 305-9558
Sole ProprietorYes
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1972108256 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 GA · LPN098619
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.
1389 JACKSON ST, Macon, GA 31201
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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 Destiny Fuller's NPI number?

The NPI number for Destiny Fuller is 1972108256. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Destiny Fuller located?

Destiny Fuller practices at 1389 Jackson St, Macon, GA 31201. The listed phone number is (478) 305-9558.

What is Destiny 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 Destiny Fuller was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.