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

Eli Jacob Fulfer

Individual provider Registered Nurse · NPI 1629848098

Eli Jacob Fulfer is a Nurse Practitioner in Springdale, Arkansas. Qualified in 2024, 2 years ago. Practices with Reding and Leach MD PLLC, a 62-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

609 W Maple Ave
Springdale, AR 72764-5335
Phone: (479) 530-9754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 213657 (AR)
Registered Nurse Taxonomy 163W00000X · Licence 213657 (AR)

Record details

NPI number1629848098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address3109 S 28th Pl Apt 1, Rogers, AR 72758-4720

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reding And Leach Md Pllc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springdale