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

Mrs. Catina Fuller

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1407430390

Mrs. Catina Fuller is an Addiction (Substance Use Disorder) Registered Nurse in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021

Practice location Address checks out

1935 Lakeland Dr Ste 900
Jackson, MS 39216-5028
Phone: (601) 718-2468
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 901240 (MS)

Record details

NPI number1407430390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing address1935 Lakeland Dr Ste 900, Jackson, MS 39216-5028

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