Melissa Dawn Fuller, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-112786 Issued in AL

Practice address

2207 Rockford Dr
Chipley, FL 32428-3004

Phone

(334) 524-1969

NPI assigned

Jul 24, 2022

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1639804529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9489 LEE ROAD 379",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368546686",
            "telephone_number": "234-524-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 ROCKFORD DR",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324283004",
            "telephone_number": "334-524-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-112786",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Associates of NW Florida
• Matthew R Fischer, DPT
• Florida Department of Health (Washington County Health Department)
• Florida Woman Care, LLC
• Alison Tate Freeman, DPT
• Taylor Brooke Fuller, RBT
• Suzan Mills Gage
• William Mark Garney, ARNP-C
• Mallory Gay
• Geri-Care Assisted Living & Rehabilitative Center (Coastal Firness and Rehabilitation Center)

• Family Nurse Practitioner in Chipley, FL
• Providers in Chipley, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.