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

Mrs. Kristy Leann Fullard, NP

Individual provider Family Nurse Practitioner · NPI 1528604543

Mrs. Kristy Leann Fullard, NP is a Nurse Practitioner in Modesto, California. Qualified in 2019, 7 years ago. Practices with First Choice Physician Partners, a 140-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2012 Kendall Ave
Modesto, CA 95355-3280
Phone: (209) 581-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F12190864 (CA)

Record details

NPI number1528604543
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice First Choice Physician Partners — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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