Mary Fullon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

927-0573 Issued in FL

Practice address

601 E Rollins St Ste 400
Orlando, FL 32803-1248

Phone

(407) 303-9507

NPI assigned

Aug 12, 2020

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1639780885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OVERSTREET AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505428",
            "telephone_number": "407-421-1470",
            "fax_number": "321-295-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLON",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "927-0573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Fuller
• Brenna Sullivan Fullerton, M.D.
• Shannia Fullerton
• Fullness of Life ABA Services LLC
• Fullness of Life Kid'S LLC
• Jennifer Fullwood
• Madeline Fulmer
• Mary Alice Fulmer, DNP, ARNP, FNP-C
• Fulmore Chiropractic and Wellness
• Emma Fulmore

• Registered Nurse in Orlando, FL
• Providers in Orlando, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.