Individual
STEPHANIE MARIE FULKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28229839A
IN
363LA2100X
Acute Care Nurse Practitioner
71013487A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71013487A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28229839A
NURSING BOARD LICENSE
IN
05
—
300071683
—
IN
01
—
71013487A
APRN PRESCRIPTIVE AUTHORITY LICENSE
IN
Enumeration date
01/23/2023
Last updated
07/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up