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

Stephanie Fulleborn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437508678

Stephanie Fulleborn, MD is a Student in an Organized Health Care Education/Training Program in Eglin AFB, Florida. Licensed in Nebraska. Registered with an NPI since 2016.

Licensed in
NE
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone: (850) 883-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30653 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437508678
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302

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