Carissa Sharnetta Fuller
CRNP | Nurse Practitioner - Gerontology | 19+ years Exp
3401 N Broad St, Philadelphia
Pennsylvania, 19140-5103
215-707-1800
Carissa Sharnetta Fuller is a Philadelphia, Pennsylvania based nurse practitioner with 19 years of experience in Gerontology. She completed her graduation in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Carissa Sharnetta Fuller is SP009193 for Adult Health in Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia. Patients can reach her at 215-707-1800 or can fax her at 215-707-3644. Carissa Sharnetta Fuller is CRNP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1407070501.
Carissa Sharnetta Fuller is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Carissa Sharnetta Fuller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Carissa Sharnetta Fuller |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 19+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2006 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3401 N Broad St, Philadelphia,
Pennsylvania, 19140-5103 |
| Phone: | 215-707-1800 |
| Fax: | 215-707-3644 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8224136239 |
| Enrollment ID: | I20070614000078 |
| NPI Number: | 1407070501 |
| NPI Enumeration Date: | 12 Apr, 2007 |
| NPI Last Update On: | 15 Feb, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carissa Sharnetta Fuller are as mentioned below.
| License Number | Specialization | State | Status | |
| SP009193 | Adult Health | Pennsylvania | Primary | |
| LP0000308 | Gerontology | Delaware | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (390180) | Upland, PA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Carissa Sharnetta Fuller is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Main Line Healthcare (1951215201) | 748 |
| Prospect Health Access Network Inc (5698065142) | 234 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Carissa Sharnetta Fuller
3500 N Broad St Rm 1a,
Philadelphia, Pennsylvania |
| Zip: | 19140-4106 |
| Phone Number: | 215-926-9022 |
Patients can reach Carissa Sharnetta Fuller at
3401 N Broad St, Philadelphia, Pennsylvania or can
call to book an appointment on 215-707-1800.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.