JALISA FULLER
NPI 1982270088
Driver in Bossier City, LA

Q: What is Jalisa Fuller's NPI number?

The NPI number for Jalisa Fuller is 1982270088. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Q: What is Jalisa Fuller's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jalisa Fuller was last updated on May 28, 2021. 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.

Active since May 28, 2021

1621 WILLIAMSBURG DR, BOSSIER CITY, LA 71112(318) 730-2368 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jalisa Fuller NPPES

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

JALISA FULLER (NPI 1982270088) is an individual driver provider in Bossier City, Louisiana, licensed in Louisiana (009494849) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1982270088

Entity TypeIndividualFemale

Primary Taxonomy172A00000X

Provider Legal NameJALISA FULLER

Location Address1621 WILLIAMSBURG DRBossier City, LA 71112-3165

Mailing Address1621 Williamsburg DrBossier City, LA 71112-3165 · (318) 730-2368

Phone(318) 730-2368

Sole ProprietorNo

Enumeration DateMay 28, 2021

NPPES CertifiedMay 28, 2021

✔ NPI 1982270088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

License✔ Licensed in LA · 009494849

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

1621 WILLIAMSBURG DR, Bossier City, LA 71112

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Other Identifiers 1

Medicaid843382246LA

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 Jalisa Fuller's NPI number?

The NPI number for Jalisa Fuller is 1982270088. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Jalisa Fuller located?

Jalisa Fuller practices at 1621 Williamsburg Dr, Bossier City, LA 71112. The listed phone number is (318) 730-2368.

What is Jalisa Fuller's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Jalisa Fuller was last updated on May 28, 2021. 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.