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

Traci Ann Fuller, PA

Individual provider Medical Physician Assistant · NPI 1487961231

Traci Ann Fuller, PA is a Medical Physician Assistant in Cincinnati, Ohio. Licensed in Georgia and Ohio. Registered with an NPI since 2010.

Licensed in
GA, OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6480 Harrison Ave Ste 100
Cincinnati, OH 45247-7961
Phone: (513) 354-3700
Fax: (513) 354-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50003781 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 006385 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 006385 (GA)

Record details

NPI number1487961231
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2010
Last updated in NPPESJune 21, 2013

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