Deborah Carter Fulop, ARNP, MSN

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

1519592 Issued in FL

Practice address

4205 Belfort Rd
Suite 4090
Jacksonville, FL 32216-1471

Phone

(904) 393-7910

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatrix,Inc

  • Critical Access Hospital
  • Jacksonville, FL
  • NPI 1194867390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275619850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 SAYE DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254862",
            "telephone_number": "904-646-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD",
            "address_2": "SUITE 4090",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161471",
            "telephone_number": "904-393-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULOP",
        "first_name": "DEBORAH",
        "middle_name": "CARTER",
        "name_prefix": "Mrs.",
        "credential": "ARNP, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "FL",
            "license": "1519592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan D'Ann Fullerton, PA-C
• Shalyn Mackenzie Fullerton, MD
• Hannah Elizabeth Fullford
• Jack T. Fulmer, M.D.
• James J. Fulmer, MD
• Fulton Gibbs Wellness, LLC
• Brandy Sheree Fulton, MSN, APRN, FNP-BC
• Carol Marie Fulton, ARNP
• Emily Fulton
• Jennifer Carroll Fulton, MD

• Critical Care Neonatal Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Critical Care Neonatal Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.