MRS. NICOLE SHUPE FULLARD (NP) – Family Nurse Practitioner, NPI 1225660491

Family Nurse Practitioner

MRS. NICOLE SHUPE FULLARD (NP) is a healthcare provider. based in Brunswick, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. RN231483 (GA). The NPI Number for MRS. NICOLE SHUPE FULLARD (NP) is 1225660491

Main info

Female

7 Years Of Experience

Accepts Medicare Assignment

Name

MRS. NICOLE SHUPE FULLARD (NP)

NPI

1225660491

Phone

(912) 275-7500

Address

210 EVELYN DR

Enumeration Date

6 February 2020

Last Update Date

11 February 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9122649111

Graduation Year

2019 (7 years ago)

PAC ID

6406277722

Group Practice PAC ID

5991778573

Professional Enrollment ID

I20200522000059

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for MRS. NICOLE SHUPE FULLARD (NP)

210 EVELYN DR
BRUNSWICK, GA 315231111
Phone: (912) 275-7500
Type: Mailing
1111 GLYNCO PKWY STE 10
BRUNSWICK, GA 315257930
Phone: (912) 264-9111
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31523)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5991778573View full group profile

Name	Specialty	State
HALEI ALISE KIRKLAND (FNP-BC)	-	GA
DR. LESTER R. JOHNSON (M.D.)	-	GA
CAROLINE DEJARNETT FLEXER (FNP-BC)	-	GA
JACQUELINE H MODER	-	GA
ERIN TAPLEY BURCH (FNP-C)	-	GA
MRS. DEANNA RENEE HODGES (FNP)	-	GA
MRS. EMILY ANN BAISE-SHUMAN (PA-C)	-	GA
DR. CATHERINE K DICKENS (M.D.)	Emergency Medicine	GA
BETHANY ANN ANDERSON (APRN)	-	GA
CHARLES MILITELLO (PA-C)	Physician Assistant	AZ

Reviews

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Frequently asked questions

Where can patients find MRS. NICOLE SHUPE FULLARD (NP)'s NPI?

You can confirm MRS. NICOLE SHUPE FULLARD (NP) with NPI 1225660491; it appears in the national provider directory.

Is MRS. NICOLE SHUPE FULLARD (NP)'s NPI currently valid?

The extract we use shows MRS. NICOLE SHUPE FULLARD (NP) as active.

What field does MRS. NICOLE SHUPE FULLARD (NP) work in?

You can think of MRS. NICOLE SHUPE FULLARD (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What location metadata exists for MRS. NICOLE SHUPE FULLARD (NP)?

The page summarizes Brunswick, Georgia for MRS. NICOLE SHUPE FULLARD (NP); expand the address list for detail.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.