Individual provider Active NPI

Jessica Fuller

  • Family Nurse Practitioner
  • Exton, PA
National Provider Identifier
1639019474
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN749550 Issued in PA
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

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN749550PAMDFamily 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.

Verify at the official NPI Registry.