Active NPI
Jessica Fuller
- Family Nurse Practitioner
- Exton, PA
National Provider Identifier
1639019474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN749550
- Practice address
- 736 W Lincoln Hwy
Exton, PA 19341-2547 - Phone
- (484) 999-2100
- NPI assigned
- Mar 31, 2026
- 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 | RN749550 | PA | Primary |
Addresses
Primary practice location
736 W Lincoln Hwy
Exton, PA 19341-2547
Mailing address
130 Monument Rd Apt 507
Bala Cynwyd, PA 19004-1765
Phone (973) 997-6110
Other practice location 1
860 1st Ave
King Of Prussia, PA 19406-4033
Phone (610) 265-9290
Other practice location 2
815 Sumneytown Pike
Lansdale, PA 19446-5390
Phone (215) 832-0111
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 |
|---|---|---|---|
| RN749550 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1639019474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MONUMENT RD APT 507",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041765",
"telephone_number": "973-997-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 W LINCOLN HWY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412547",
"telephone_number": "484-999-2100"
}
],
"practiceLocations": [
{
"address_1": "860 1st Ave",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "194064033",
"country_code": "US",
"telephone_number": "610-265-9290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 Sumneytown Pike",
"address_purpose": "LOCATION",
"city": "Lansdale",
"state": "PA",
"postal_code": "194465390",
"country_code": "US",
"telephone_number": "215-832-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-31",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "RN749550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.