| Jill Elizabeth Fuller, FNP-BC | |
|
1022 Storrs Rd, Storrs Mansfield, CT 06268-2633 | |
| (860) 429-9321 | |
| (860) 429-4775 |
| Full Name | Jill Elizabeth Fuller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 1022 Storrs Rd, Storrs Mansfield, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154574416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5403 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Windham Community Memorial Hospital | Willimantic, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Inc | 1153573902 | 223 |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Elizabeth Fuller, FNP-BC 1022 Storrs Rd, Storrs Mansfield, CT 06268-2633 Ph: (860) 429-9321 | Jill Elizabeth Fuller, FNP-BC 1022 Storrs Rd, Storrs Mansfield, CT 06268-2633 Ph: (860) 429-9321 |
Jeanne J Levasseur, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Student Health Services U-conn, U-11 234 Glenbrook Rd., Storrs Mansfield, CT 06269 Phone: 860-486-4700 | |
Mrs. Kristine Poet Ridyard, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: University Of Ct Student Health Services, 234 Glenbrook Drive Unit 2011, Storrs Mansfield, CT 06269 Phone: 860-487-3427 |