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

Stefanie Tiquesea Fuller

Individual provider Nurse's Aide · NPI 1255052940

Stefanie Tiquesea Fuller is a Nurse's Aide in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

84 Washington Douglas Cir Apt B
Jackson, TN 38301-3132
Phone: (731) 693-0821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 00194647 (TN)

Record details

NPI number1255052940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Other providers in Jackson