STEPHANIE FULLER FNP-C NPI 1548622178

NPI Information

NPI: 1548622178
Provider Name: STEPHANIE FULLER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1813 WILLOW ST
SUITE 3
VINCENNES, IN
ZIP 47591
Phone: (812) 885-8941
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Stephanie Fuller, FNP-C is a family nurse practitioner in Vincennes, IN with 9 years of experience. Stephanie Fuller, FNP-C NPI is 1548622178. 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:

1813 WILLOW ST
SUITE 3
VINCENNES, IN
ZIP 47591-279
Phone: (812) 885-8941
Fax: (812) 885-8940

The NPI 1548622178 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 3/23/2016 and was last updated on 11/10/2023.

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	363L00000X	Nurse Practitioner		4009615	KENTUCKY	No
2	363L00000X	Nurse Practitioner		71006152A	INDIANA	No
3	363LF0000X	Nurse Practitioner	Family	71006152A	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	71006152A	OTHER	INDIANA	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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