Individual provider · Type 1 NPI

Stefanie Tiquesea Fuller

Nurse's Aide · Jackson, TN

NPI number 1255052940 Active

Practice location

84 Washington Douglas Cir Apt B
Jackson, TN 38301-3132

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X00194647 (TN)

Nurse's Aide: (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…

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About NPI 1255052940

Stefanie Tiquesea Fuller's National Provider Identifier is 1255052940, issued on Sep 9, 2022. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Jackson, TN. The record was last updated on Sep 9, 2022.