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STEFANIE TIQUESEA FULLER
NPI 1255052940
Nurse's Aide in Jackson, TN

Active since September 09, 2022
84 WASHINGTON DOUGLAS CIR APT B, JACKSON, TN 38301(731) 693-0821 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stefanie Tiquesea Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANIE TIQUESEA FULLER (NPI 1255052940) is an individual nurse's aide in Jackson, Tennessee, licensed in Tennessee (00194647) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1255052940
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameSTEFANIE TIQUESEA FULLER
Location Address84 WASHINGTON DOUGLAS CIR APT BJackson, TN 38301-3132
Mailing Address84 Washington Douglas Cir Apt BJackson, TN 38301-3132 · (731) 693-0821
Phone(731) 693-0821
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1255052940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in TN · 00194647
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
84 WASHINGTON DOUGLAS CIR APT B, Jackson, TN 38301
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefanie Fuller's NPI number?

The NPI number for Stefanie Fuller is 1255052940. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Stefanie Fuller located?

Stefanie Fuller practices at 84 Washington Douglas Cir Apt B, Jackson, TN 38301. The listed phone number is (731) 693-0821.

What is Stefanie Fuller's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Stefanie Fuller was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.