Active NPI
Jeanne Dalene Fulcher, N.N.P.
- Neonatal Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1841468386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP5949
- Practice address
- 2954 S Eugene
Mesa, AZ 85212-1782 - Phone
- (800) 243-3839
- NPI assigned
- Feb 19, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN037765 | AZ | |
| Neonatal Nurse Practitioner | 363LN0000X | AP5949 | AZ | Primary |
Addresses
Primary practice location
2954 S Eugene
Mesa, AZ 85212-1782
Mailing address
PO Box 5177
Phoenix, AZ 85010-5177
Phone (602) 344-5651
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Interoperability endpoints
- jfulcher2936@direct.valleywisehealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1841468386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5177",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850105177",
"telephone_number": "602-344-5651",
"fax_number": "602-344-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2954 S EUGENE",
"city": "MESA",
"state": "AZ",
"postal_code": "852121782",
"telephone_number": "800-243-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULCHER",
"first_name": "JEANNE",
"middle_name": "DALENE",
"credential": "N.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "AZ",
"license": "RN037765",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "AP5949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.