Nino Fuller, AGACNP-BC

Nurse practitioner in Henderson, Texas · NPI 1962974469

Nino Fuller is one of 64 nurse practitioners practicing in Henderson, Texas. Nino Fuller practices with Etmc Physician Group, Inc., Hospitalist Medicine Physicians Of Texas PLLC, and North Texas Physician Services, PLLC.

Registry record (NPPES)

NPI: 1962974469
Type: Type 1 · Individual
Primary taxonomy: Nurse Practitioner · 363L00000X
Address on file: 300 Wilson St
Henderson, TX 75652-5956
(903) 655-6536
Enumerated: Dec 20, 2018
Record last updated: Nov 30, 2022
License states listed: GA, TX, VA

Medicare (CMS)

Enrollment: Medicare-enrolled in GA, TX, VA
Nurse Practitioner
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

300 Wilson St
Henderson, TX 75652
(903) 655-6536
2000 S Palestine St
Athens, TX 75751
(903) 676-1000
18118 FM 344
Flint, TX 75762
(903) 825-3292
700 E Marshall Ave
Longview, TX 75601
(903) 315-2000
800 E Dawson St Trinity Mother Frances
Tyler, TX 75701
(903) 593-8441

More nurse practitioners in Henderson

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.