Search › New York › Psychiatric/Mental Health Nurse Practitioner
Constance Fullwood, PHNL, PMHNP-BC
NPI 1134798663 · on the registry since 2021 · sole proprietor
Practice
- Address
- 36-11 21st St
Long Island City, NY 11106 - Phone
- (718) 482-7772
- Fax
- (718) 482-9648
- Organisation at this address
- Community Healthcare Network, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 94-98 Manhattan Avenue, Brooklyn, NY
- 255 E Houston St, New York, NY
- 350 Grand St Rm 240, New York, NY
- 89-44 164th St, Jamaica, NY
- 1880 Bathgate Ave, Bronx, NY
- 504 W 158th St Fl 5, New York, NY
- 2581 Atlantic Ave, Brooklyn, NY
- 1167 Nostrand Ave, Brooklyn, NY
- 999 Blake Ave, Brooklyn, NY
- 2301 Dorsey Rd Ste 200, Glen Burnie, MD
- 81 W 115th St, New York, NY
- 975 Westchester Ave, Bronx, NY
- 511 W 157th St, New York, NY
Registry record
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
- Licence states on file
- MA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York