Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stephanie Renee Fuller, MS, FNP-C

Individual provider Family Nurse Practitioner · NPI 1780138305

Mrs. Stephanie Renee Fuller, MS, FNP-C is a Nurse Practitioner in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with Modern Physician Services PC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5556 Cantabria Dr
Dallas, TX 75248-6445
Phone: (214) 405-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 302 Highway 3 S, League City, TX 77573-1527 — (214) 405-5556

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP131525 (TX)

Record details

NPI number1780138305
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , FNP-C
Sole proprietorNo
NPI enumeratedAugust 11, 2016
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Modern Physician Services Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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