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

Kayla Fuller, PA-C

Individual provider Physician Assistant · NPI 1558765214

Kayla Fuller, PA-C is a Physician Assistant in Portsmouth, Virginia. Licensed in Alaska and New Jersey. Registered with an NPI since 2014.

Licensed in
AK, NJ
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-4564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1177 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00600900 (NJ)

Record details

NPI number1558765214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

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