STEPHANIE M FULMER


Address: 2351 Evans Street, Suite A, Newberry, SC 29108
Phone: 8032767978

STEPHANIE M FULMER (NPI# 1235652967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235652967
Entity Type Individual
Full Name STEPHANIE M FULMER
Credential FNP-BC
Practice Address 2351 Evans Street
Suite A
Newberry
SC 29108
Mailing Address Po Box 6069
West Columbia
SC 29171-6069
Practice Telephone 8032767978
Enumeration Date 2017-07-25
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
21174 SC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
21174 SC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2720 Sunset Blvd, West Columbia, SC 291694810 8037912000

Other Providers STEPHANIE FULMER

NPI Name Taxonomy Address Enumeration
1942639943 Stephanie Celeste Fulmer Behavioral Analyst 220 G St Sw, Ardmore, OK 73401-4955 2013-11-11

Office Location

Street Address 2351 EVANS STREET
SUITE A
City NEWBERRY
State SC
Zip Code 29108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104472109 Palmetto Bone and Joint Pain Medicine Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 2019-08-15
1922578582 Joni Seibert Chapman Registered Nurse 3419 Main Street, Newberry, SC 29108 2018-11-27
1497152177 Frances Diane Martin Registered Nurse 9307 Sc Highway 34, Newberry, SC 29108 2014-11-25
1528463254 Lauren Flynn Registered Nurse 3419 Main St, Newberry, SC 29108 2014-10-23
1689017998 Charlene Kneece Registered Nurse 255 Hawkins Road, Newberry, SC 29108 2013-04-17
1952642423 Allison Kyzer Gardner Chiropractor 3218 College Street, Newberry, SC 29108 2013-03-08
1972853372 Dipa Mcgee Pharmacist 1210 Wilson Road, Newberry, SC 29108 2012-09-12
1730339060 Fresenius Medical Care Cna Kidney Centers, LLC Clinic/Center 2850 Kinard St, Newberry, SC 29108 2008-09-23
1508042201 Newberry Oncology Associates Radiology 298 Commerce Dr., Newberry, SC 29108 2008-01-14
1144352097 Betty M Summer Nurse Practitioner Msa Hospice, 2228 Harrington Sr, Newberry, SC 29108 2007-03-09
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942770086 Ithamesia Rodgers Nurse Practitioner 2041 Medical Park Dr, Newberry, SC 29108-2249 2018-12-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316547649 Tabia Oni Mcmullen Nurse Practitioner 2850 Ashley Phosphate Rd Ste A, North Charleston, SC 29418-4403 2020-10-27
1629684576 Matthew David Zeuschner Nurse Practitioner 107 Woodwind Court, Myrtle Beach, SC 29572 2020-09-16
1528679982 Laura Robinson Nurse Practitioner 2501 Mission Rd, York, SC 29745-8319 2020-08-11
1205468162 Erin Leigh Edwards Nurse Practitioner 3980 Highway 9 E Ste 310, Little River, SC 29566-8165 2020-02-10
1780223685 Estella Janean Hill Nurse Practitioner 110 Wayline Ct, Greenville, SC 29605-6451 2019-12-26
1912543430 Megan Purvis Halkowitz Nurse Practitioner 108 Wild Meadows Dr, Anderson, SC 29621-3787 2019-11-19
1427699297 Meredith Sutton Proctor Nurse Practitioner 2111 Whispering Winds Dr, Rock Hill, SC 29732-8870 2019-10-03
1467000794 Stephanie Van Camp Nurse Practitioner 125 Commonwealth Dr Unit 210, Greenville, SC 29615-4812 2019-08-29
1346713138 Paula Breeden Lowther Nurse Practitioner 844 Stratford Run Dr, Fort Mill, SC 29708-5701 2019-01-04
1881174936 Jaclyn Sudol Nurse Practitioner 2946 Ashley River Rd, Charleston, SC 29414-7049 2018-08-17
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Competitor

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City NEWBERRY
Zip Code 29108

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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