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

Jacqueline Nicole Fullerton

Individual provider Occupational Therapist · NPI 1083144828

Jacqueline Nicole Fullerton is an Occupational Therapist in Tuba City, Arizona. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045
Phone: (928) 283-2590
Fax: (928) 283-2591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1083144828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESJune 14, 2017

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