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

Jessica Fullmer, MD

Individual provider Family Medicine Physician · NPI 1578199592

Jessica Fullmer, MD is a Family Practice in Provo, Utah. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

475 W 940 N
Provo, UT 84604-3301
Phone: (801) 357-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5602710-1205 (UT)

Record details

NPI number1578199592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address475 W 940 N, Provo, UT 84604-3301

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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