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

Mrs. Shannon Fultz, NP

Individual provider Acute Care Nurse Practitioner · NPI 1023601069

Mrs. Shannon Fultz, NP is an Acute Care Nurse Practitioner in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2021.

Licensed in
RI
In the registry since
2021
Specialties on file
2
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-9166
Fax: (401) 444-2788
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN02454 (RI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN02454 (RI)

Record details

NPI number1023601069
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Other providers in Providence