Mrs. Lacreasha Fullard
CRNP-PMH | Nurse Practitioner - Psych/Mental Health | 5+ years Exp
9649 Belair Rd Ste 104, Nottingham
Maryland, 21236-1117
410-529-1309
Accepts Medicare Nurse Anesthetist in Nottingham, Maryland.Mrs. Lacreasha Fullard is a Nottingham, Maryland based nurse practitioner with 5 years of experience in Psych/Mental Health. She completed her graduation in 2020. 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. Lacreasha Fullard is R219476 for Psych/Mental Health in Maryland. Her current practice location is 9649 Belair Rd Ste 104, Nottingham. Patients can reach her at 410-529-1309 or can fax her at 410-529-1005. Mrs. Lacreasha Fullard is CRNP-PMH with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1821696196.
Mrs. Lacreasha Fullard provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mrs. Lacreasha Fullard 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. Lacreasha Fullard |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | CRNP-PMH |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 9649 Belair Rd Ste 104, Nottingham, Maryland, 21236-1117 |
| Phone: | 410-529-1309 |
| Fax: | 410-529-1005 |
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: | 6608267026 |
| Enrollment ID: | I20211220000885 |
| NPI Number: | 1821696196 |
| NPI Enumeration Date: | 09 Oct, 2020 |
| NPI Last Update On: | 08 Aug, 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 Mrs. Lacreasha Fullard are as mentioned below.
| License Number | Specialization | State | Status | |
| R219476 | Psych/Mental Health | Maryland | Primary | |
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. Lacreasha Fullard is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Progressive Multi Medical Services Inc (5991124687) | 4 |
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. Lacreasha Fullard 9649 Belair Rd Ste 104, Nottingham, Maryland |
| Zip: | 21236-1117 |
| Phone Number: | 410-529-1309 |
| Fax Number: | 410-529-1005 |
Patients can reach Mrs. Lacreasha Fullard at
9649 Belair Rd Ste 104, Nottingham, Maryland or can
call to book an appointment on 410-529-1309.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.