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

Keydella Fuller, APN

Individual provider Family Nurse Practitioner · NPI 1053855809

Keydella Fuller, APN is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New Jersey.

Years since qualifying
9
Licensed in
FL, NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

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Practice location Partly verified

Some contact details are missing from the federal record.

UF Health 15255 Max Leggett Pkwy Ste 3600
Jacksonville, FL 32218
Phone: (904) 383-1011
Fax: (904) 383-1411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 910 S 8th St Ste 205, Fernandina Beach, FL 32034-3771 — (904) 895-6433

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11012620 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00692900 (NJ)

Record details

NPI number1053855809
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedDecember 13, 2016
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address15255 Max Leggett Pkwy Ste 3600, Jacksonville, FL 32218-7279

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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