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

Jodie L Fullerton

Individual provider Specialist · NPI 1679704613

Jodie L Fullerton is a Specialist in Yakima, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2009

Practice location Address checks out

208 N 3rd Ave
Yakima, WA 98902-2632
Phone: (509) 965-5750
Fax: (509) 965-8257
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA00016698 (WA)

Record details

NPI number1679704613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2009
Last updated in NPPESAugust 6, 2009
Mailing address208 N 3rd Ave, Yakima, WA 98902-2632

Other providers in Yakima