Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEFANIE TIQUESEA FULLER
ActiveSTEFANIE TIQUESEA FULLER is a Nurse's Aide healthcare provider located in JACKSON, Tennessee. NPI 1255052940 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · JACKSON, TN
Registration Details
- NPI Number
- 1255052940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2022 (3.9258908492448 yrs)
- Last Updated
- Sep 9, 2022
- License
-
00194647 (TN)
Practice Information
- Address
-
84 WASHINGTON DOUGLAS CIR APT BJACKSON, TN, 383013132Browse TN providers · Browse ZIP 38301
- Phone
- 7316930821
- Primary Specialty
-
Nurse's Aide
376K00000X
Other Nurse's Aide Providers in JACKSON, TN
| Name | Credential | NPI |
|---|---|---|
| MR. SHIRREE SHINELLEC HOLLIDAY | C.N.A | 1518391085 |
| CALRETHA MABRY | — | 1639534308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.