Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anne B Fullmer, FNP

Individual provider Family Nurse Practitioner · NPI 1891165569

Anne B Fullmer, FNP is a Nurse Practitioner in Jerome, Idaho. Qualified in 2015, 11 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

709 N Lincoln Ave
Jerome, ID 83338-1851
Phone: (208) 814-9772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence N-38467 (ID)

Record details

NPI number1891165569
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 6, 2015
Last updated in NPPESOctober 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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