Fuller, Stephanie

Fuller, Stephanie is an individual health care provider with primary practice located at 1813 Willow St Suite 3, Vincennes IN 47591-4279. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fuller, Stephanie can be contacted via phone (812) 885-8941.

Contact Information

Primary practice address
1813 Willow St Suite 3 Vincennes IN 47591-4279
Phone: (812) 885-8941
Fax: (812) 885-8940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4009615 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006152A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006152A Indiana

Profile Details

NPI number 1548622178
LBN Legal business name Fuller, Stephanie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Nov 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548622178 NPPES
Indiana Other 71006152A LICENSE

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