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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jack Anthony Fulling, PA

Physician Assistant in Ooltewah, TN · enumerated 2026.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972411387

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack Anthony Fulling
Credential PA
Sex Male
Practice address Ooltewah, TN, 37363
Phone (423) 559-6000
Enumeration date Aug 28, 2026
Last updated in NPPES Aug 28, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jack Fulling practice?
The practice location on file with NPPES is in Ooltewah, TN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jack Fulling?
The National Provider Identifier (NPI) for Jack Fulling is 1972411387, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-28.