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

Nanette Nicole Fulp, PA-C

Individual provider Physician Assistant · NPI 1508308610

Nanette Nicole Fulp, PA-C is a Physician Assistant in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1995 Bethabara Rd
Winston Salem, NC 27106-3375
Phone: (336) 759-7596
Fax: (336) 759-3652
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06840 (NC)

Record details

NPI number1508308610
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022

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