What is Jacqueline Fuller's NPI number?

Jacqueline Fuller's National Provider Identifier (NPI) is 1689049272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacqueline Fuller's specialty?

Jacqueline Fuller is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Jacqueline Fuller located?

Jacqueline Fuller's practice location on file with NPPES is 23598 Civic Center Dr, Southfield, MI 48033-7134.

What is Jacqueline Fuller's phone number?

The practice phone number listed in the NPPES registry for Jacqueline Fuller is (248) 469-9821.

Is Jacqueline Fuller's NPI active?

Yes — Jacqueline Fuller's NPI (1689049272) is active in the NPPES registry as of the last update on 2015-12-08.

IndividualActive

Jacqueline Fuller

NPI 1689049272 · Licensed Practical Nurse · Southfield, MI

Jacqueline Fuller is a Licensed Practical Nurse provider in Southfield, MI (NPI 1689049272).

Provider details

NPI number: 1689049272
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 4703112821 (MI)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 4703112821 (MI)
Nursing Service Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

23598 Civic Center Dr

Southfield, MI 48033-7134

Phone: (248) 469-9821

Street-level locationGet directions

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Mailing address