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

Mrs. Nicole Shupe Fullard, NP

Individual provider Family Nurse Practitioner · NPI 1225660491

Mrs. Nicole Shupe Fullard, NP is a Family Nurse Practitioner in Brunswick, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Glynco Pkwy Ste 10
Brunswick, GA 31525-7930
Phone: (912) 264-9111
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN231483 (GA)

Record details

NPI number1225660491
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

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