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

DESTINY MARIE FULLEN

Active

DESTINY MARIE FULLEN is a Primary Care Nurse Practitioner healthcare provider located in BARDSTOWN, Kentucky. NPI 1588517619 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · BARDSTOWN, KY

Registration Details

NPI Number
1588517619
Provider Type
Individual
Gender
Female
NPI Issued
Feb 18, 2026 (0.45451160139187 yrs)
Last Updated
Mar 7, 2026
Licenses
4047688 (KY)
4047688 (KY)

Practice Information

Address
102 W JOHN ROWAN BLVD
BARDSTOWN, KY, 400042663
Browse KY providers · Browse ZIP 40004
Phone
5023487880
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in BARDSTOWN, KY

Name Credential NPI
ELIZABETH LENA JEAN HEATON APRN 1518596758
CLAIRE A. HICKS 1821958117
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.