# FULLER CARE NOW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942065354
- **Authorized official:** STEPHANIE RENEE FULLER FNP-C (OWNER)
- **Authorized official phone:** (214) 405-5556

## Contact information

- **Practice address:** 11617 GROSVENOR LN \# 1B, RICHMOND HILL, NY 11418-3510
- **Practice address phone:** (214) 405-5556
- **Mailing address:** 11617 GROSVENOR LN \# 1B, RICHMOND HILL, NY 11418-3510
- **Mailing address phone:** (214) 405-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024