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

Nicky Fuller

Individual provider Family Nurse Practitioner · NPI 1902468556

Nicky Fuller is a Nurse Practitioner in Deerfield Beach, Florida. Qualified in 2019, 7 years ago. Practices with ENT and Allergy Associates of Florida, LLC, a 227-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1 W Sample Rd Ste 103
Deerfield Beach, FL 33064-3547
Phone: (954) 942-6868
Fax: (954) 942-6854
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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 APRN11003023 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11003023 (FL)

Record details

NPI number1902468556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2019
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address1 W Sample Rd Ste 103, Deerfield Beach, FL 33064-3547

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 Ent And Allergy Associates Of Florida, Llc — 227 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Deerfield Beach