Billi-Jo Fulton MSN, PMHNP-BC

Billi-Jo was born and raised in Sullivan County, where she developed a deep-rooted connection to the land and its people growing up on her family’s multigenerational dairy farm. Now, as a psychiatric nurse practitioner, she’s proud to return to her hometown to offer compassionate, empathetic care to the community that shaped her. 

This nurse practitioner wears work boots—grounded, hardworking, and always ready to meet people where they are. 

Billi-Jo Fulton is a Board-Certified Psychiatric Nurse Practitioner through the American Nurses Credentialing Center (ANCC), bringing over 30 years of real-world experience to the table. She began her career in emergency medicine, starting as a phlebotomist at the local hospital while waiting to get into the Lourdes Paramedic Program. Since 1993, she’s worked in nearly every role in the prehospital field—Certified First Responder, EMT-Basic, EMT-Paramedic, even 911 Dispatch—proving she’s just as capable behind the wheel of an ambulance or fire truck as she is behind a desk. 

Her years in firefighting and EMS taught her how to assess high-stakes situations fast, make critical decisions under pressure, and lead teams through chaos. She doesn’t flinch in a crisis and brings that same level-headed, practical approach to psychiatric care. Billi-Jo understands the reality of what people face in the field, on the job, and at home—and she cuts through the noise to deliver care that’s grounded, honest, and effective. 

After becoming a registered nurse, Billi-Jo built a broad foundation working across multiple units—including med-surg, ICU, ER, inpatient behavioral health, psychiatric emergency services, case management, and as an assistant manager for a long-term care unit specializing in traumatic brain injury. Her experience spans hospitals and facilities throughout Upstate New York.

As a longtime bedside provider, she takes a practical, tiered approach to care—starting with the least invasive interventions and moving up as needed. She combines traditional medicine with evidence-based holistic methods to treat the whole person, not just the symptoms.  

While completing her education, Billi-Jo interned with Dr. Nasri Ghaly, a leading expert in psychiatric care. She continued working alongside him in Syracuse, where she gained hands-on experience with advanced and alternative treatments—medical marijuana, Spravato, Suboxone, laser therapy, TMS, ECT, and acupuncture. The mentorship was pivotal, and she’s now committed to bringing that same high level of care back to her hometown.