Kimberly M Fuller, NP
Nurse Practitioner in Chesapeake, VA. Individual provider (NPI-1).
NPI number1346123734
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1346123734
- Entity type
- Individual (NPI-1)
- Name
- Kimberly M Fuller
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2025
- Certification date
- Jul 3, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024194022 | VA | Yes |
Practice location
736 Battlefield Blvd NChesapeake, VA 23320-4941
Phone 757-609-3380 · Fax 757-609-3384
Mailing address
3241 Western Branch BlvdChesapeake, VA 23321-5260
Phone 757-686-3508 · Fax 757-686-0541
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