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

Lisa Fuller

Individual provider Counselor · NPI 1285458315

Lisa Fuller is a Counselor in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1904 Farragut Pl
Jacksonville, FL 32207-3420
Phone: (904) 868-0994
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1285458315
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address2534 Victoria Point Dr, Jacksonville, FL 32218-8828

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