IndividualActive
Simone Fultz, FNP
NPI 1730016684 · Nurse Practitioner · Monee, IL
Provider details
- NPI number
- 1730016684
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209036291 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
25725 S Rose Ln
Monee, IL 60449-8744
Phone: (708) 625-4854
Approximate (ZIP-level) locationGet directions
Mailing address
25725 S Rose Ln
Monee, IL 60449-8744
Registry dates
- Enumerated
- 2026-05-05
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.