Search › California › 363LF0000X
Jeremy Fuller, NP-C
NPI 1285221440 · on the registry since 2020
Practice
- Address
- 220 Concourse Blvd
Santa Rosa, CA 95403 - Phone
- (844) 527-7369
- Organisation at this address
- Evolve Restorative Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-24
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 California