Suzanne A. Fullar, RN, MSN, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

300031 Issued in NC

Practice address

669 S. Haywood St.
Jackson County Psychological Services
Waynesville, NC 28786

Phone

(828) 456-2997

Fax

(828) 456-2996

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1295854115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 S. HAYWOOD ST.",
            "address_2": "JACKSON COUNTY PSYCHOLOGICAL SERVICES",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-456-2997",
            "fax_number": "828-456-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 S. HAYWOOD ST.",
            "address_2": "JACKSON COUNTY PSYCHOLOGICAL SERVICES",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "28786",
            "telephone_number": "828-456-2997",
            "fax_number": "828-456-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLAR",
        "first_name": "SUZANNE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004794",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Mary Foster, NP
• Julie Ann Fox, FNP-BC
• Jamie Francis
• Marilyn Louise Friedkin, MSW LCSW
• Noelle Frost
• Sarah Emily Gage, LCSWA
• Terrie Galeotti, LPTA
• Noah Gallinger, RT(R)(CT). LAC. LMBT
• Lynne Colvin Galloway, R.N.
• Taylor Galyean, PHARMD

• All providers in Waynesville, NC
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.