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

Angela Fuller

Individual provider Family Nurse Practitioner · NPI 1265991764

Angela Fuller is a Family Nurse Practitioner in Soddy Daisy, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019

Practice location Address checks out

1923 Port Royal Dr
Soddy Daisy, TN 37379-8836
Phone: (423) 602-1544
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 25268 (TN)

Record details

NPI number1265991764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2019
Last updated in NPPESMarch 14, 2019

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