Active NPI
Jane Mobley Fullum, CRNP
- Family Nurse Practitioner
- Auburn University, AL
National Provider Identifier
1619457256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-049036
- Practice address
- 400 Lem Morrison Drive
Auburn University, AL 36849-0001 - Phone
- (334) 844-6126
- Fax
- (334) 844-6126
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-049036 | AL | Primary |
Addresses
Primary practice location
400 Lem Morrison Drive
Auburn University, AL 36849-0001
Mailing address
839 Millers Point Rd
Auburn, AL 36830-7628
Phone (334) 703-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-049036 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1619457256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 MILLERS POINT RD",
"city": "AUBURN",
"state": "AL",
"postal_code": "368307628",
"telephone_number": "334-703-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LEM MORRISON DRIVE",
"city": "AUBURN UNIVERSITY",
"state": "AL",
"postal_code": "368490001",
"telephone_number": "334-844-6126",
"fax_number": "334-844-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLUM",
"first_name": "JANE",
"middle_name": "MOBLEY",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-049036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn University, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.