IndividualActive
Jillian Fulton, NP, RN
NPI 1396593471 · Public Health & General Preventive Medicine Physician · Queen Creek, AZ
Provider details
- NPI number
- 1396593471
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- NP, RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN215136 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
18846 E Flintlock Dr
Queen Creek, AZ 85142-8589
Phone: (480) 770-2633
Approximate (ZIP-level) locationGet directions
Mailing address
18846 E Flintlock Dr
Queen Creek, AZ 85142-8589
Registry dates
- Enumerated
- 2024-05-13
- Last updated
- 2025-09-11
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.