STEPHANIE MARIE FULKS DNP NPI 1780399907

NPI Information

NPI: 1780399907
Provider Name: STEPHANIE MARIE FULKS, DNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1500 N RITTER AVE
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 918-3848
Get Directions

Stephanie Marie Fulks, DNP is an acute care nurse practitioner in Indianapolis, IN with 2 years of experience. Stephanie Marie Fulks, DNP NPI is 1780399907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 N RITTER AVE
INDIANAPOLIS, IN
ZIP 46219-027
Phone: (317) 918-3848

The NPI 1780399907 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28229839A	INDIANA	No
2	363LA2100X	Nurse Practitioner	Acute Care	71013487A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28229839A	OTHER	INDIANA	NURSING BOARD LICENSE
2	71013487A	OTHER	INDIANA	APRN PRESCRIPTIVE AUTHORITY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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