FAITH FULLER FNP NPI 1356485015

NPI Information

  • NPI: 1356485015
  • Provider Name: FAITH FULLER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2055 S FREMONT AVE
    SUITE 1000
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-8099

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NPI Details

Faith Fuller, FNP is a family nurse practitioner in Springfield, MO. Faith Fuller, FNP NPI is 1356485015. 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:

2055 S FREMONT AVE
SUITE 1000
SPRINGFIELD, MO
ZIP 65804-206
Phone: (417) 820-8099
Fax: (417) 820-8093

The enumeration date for this NPI number is 2/16/2007 and was last updated on 4/19/2011.

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
1363LF0000XNurse PractitionerFamily052926MISSOURIYes

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
1000080676MEDICARE PINMISSOURI
2S59184MEDICARE UPINMISSOURI
3423774801MEDICAIDMISSOURI
4837303230MEDICARE PINMISSOURI

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: 11/21/2025

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