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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY WAYNE FULLER, NP-C

Active

JEREMY WAYNE FULLER, NP-C is a Family Nurse Practitioner healthcare provider located in SANTA ROSA, California. NPI 1285221440 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SANTA ROSA, CA

Registration Details

NPI Number
1285221440
Provider Type
Individual
Gender
Male
NPI Issued
Dec 22, 2020 (5.6220529474957 yrs)
Last Updated
Feb 24, 2025
Licenses
95015009 (CA)
95015009 (CA)

Practice Information

Address
220 CONCOURSE BLVD
SANTA ROSA, CA, 954038210
Browse CA providers · Browse ZIP 95403
Phone
8445277369
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SANTA ROSA, CA

Name Credential NPI
ELLEN M ROCHE F.N.P. 1326021320
MS. BARBARA JOY RITTER FNP 1356312763
NANCY LATIMER RN, NP 1497727135
CHERI ANN SANDBERG NP 1619936853
MR. FRED W CONTRERAS MSN, APRN, BC FNP 1184684904
NANCY BELL ALLEN FNP 1053341354
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.