Mrs. Kimberly Fuller is a Vicksburg, Mississippi based nurse practitioner with 17 years of experience in Acute Care. She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Kimberly Fuller is R853474 for Acute Care in Mississippi. Her current practice location is 2100 Highway 61 N, Vicksburg. Patients can reach her at 601-883-5000. Mrs. Kimberly Fuller is MSN, ACNP - BS with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1083860324. Mrs. Kimberly Fuller is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mrs. Kimberly 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:
Mrs. Kimberly Fuller
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Female
Credentials:
MSN, ACNP - BS
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Accepts Medicare Assignment:
Yes
Practice Address:
2100 Highway 61 N, Vicksburg, Mississippi, 39183-8211
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:
6103994348
Enrollment ID:
I20081001000441
NPI Number:
1083860324
NPI Enumeration Date:
18 Aug, 2008
NPI Last Update On:
16 Mar, 2009
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kimberly Fuller are as mentioned below.
License Number
Specialization
State
Status
R853474
Acute Care
Mississippi
Primary
R853474
Emergency Medicine
Mississippi
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
(250102)
Jackson, MS
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 Mrs. Kimberly Fuller is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
App Of Mississippi Ed Llc (3971865858)
44
Relias Emergency Medicine Specialists Of St Dominic Llc (2466840152)
20
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kimberly Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
07281200
Medicaid
Mississippi
1347574
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Kimberly Fuller 2100 Highway 61 N, Vicksburg, Mississippi
Zip:
39183-8211
Phone Number:
601-883-5000
Patients can reach Mrs. Kimberly Fuller at 2100 Highway 61 N, Vicksburg, Mississippi or can call to book an appointment on 601-883-5000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.