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Active NPI 1336838267 Individual Practitioner Female Practitioner

Terrell A Fuller , LPN

Licensed Practical Nurse • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Terrell Fuller, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Newark, NJ. Practice services are available at 561 IRVINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

561 Irvington Ave

Newark, NJ 071063103

Telephone 9733730387
Associated Practice Facility / Clinic
🏢 Walgreens Pharmacy Facility NPI 1922375781

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Newark, NJ (1119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MD LP53855

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Rashmi Singh

Pharmacist

NPI 1073898466
NPI 1124537832

Doctor of Pharmacy (Pharm.D.)

Chenbin Liao

Pharmacist

NPI 1184239352
Grace Olotu

Pharmacist

NPI 1407452170
Altaf Hussain

Pharmacist

NPI 1508148081
John Ibrahim

Pharmacist

NPI 1669749446

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2023

Registered at 561 IRVINGTON AVE, NEWARK, NJ 071063103 (Tel: 9733730387)

📍
Updated Business Mailing Address May 05, 2023

Registered at 850 STEPHENSON HWY STE 612, TROY, MI 480831127 (Tel: 8884512519)

👤
Provider Name / Credentials Updated May 05, 2023

Recorded as TERRELL FULLER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2023

Licensed Practical Nurse (License #LP53855 in MD)

🟢
Initial NPI Registration & Enumeration May 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336838267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2023
Last Update: May 05, 2023
Sole Proprietor: Yes

Mailing Address

850 Stephenson Hwy Ste 612

Troy, MI 480831127

Phone: 8884512519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.