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

Dr. Lourdes Sofia Fulcomer, FNP-C

Individual provider Family Nurse Practitioner · NPI 1770268757

Dr. Lourdes Sofia Fulcomer, FNP-C is a Nurse Practitioner in Enterprise, Alabama. Graduated from State University of Ny Upstate Medical University in 2023, 3 years ago. Practices with River Hospital Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, New York and Tennessee.

Years since qualifying
3
Trained at
State University of Ny Upstate Medical University
Licensed in
AL, NY, TN
In the registry since
2023
Specialties on file
5
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

606A Boll Weevil Cir
Enterprise, AL 36330-2734
Phone: (334) 475-2462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Fuller St, Alexandria Bay, NY 13607-1391 — (315) 482-1125

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3-002843 (AL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 41315 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 315959 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 803858 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 185414 (TN)

Record details

NPI number1770268757
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address606a Boll Weevil Cir, Enterprise, AL 36330-2734

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2023 (3 years in practice)
Group practice River Hospital Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Enterprise