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

Jesslyn Renay Fullerton, ATRIC, AEAC

Individual provider Recreation Therapist · NPI 1679233928

Jesslyn Renay Fullerton, ATRIC, AEAC is a Recreation Therapist in Bluefield, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1012 Albemarle St
Bluefield, WV 24701-4514
Phone: (304) 952-6300
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1679233928
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATRIC , AEAC
Sole proprietorYes
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021