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

Jessica Fuller

Individual provider Physician Assistant · NPI 1497553663

Jessica Fuller is a Physician Assistant in Lake Jackson, Texas. Graduated from University of Texas Medical School at San Antonio in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
Trained at
University of Texas Medical School at San Antonio
In the registry since
2025
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Practice location Address checks out

114 Indian Warrior Trl
Lake Jackson, TX 77566-3230
Phone: (979) 480-6682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1497553663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2025
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address114 Indian Warrior Trl, Lake Jackson, TX 77566-3230

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Lake Jackson