NPI age
12 years
Enumerated 2014-05-15
● Active Type 2 · Organization
Faith Medical Clinic, Pllc
Faith Medical Clinic, Pllc is 1 of 22123 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Fuller
Owner
Last NPPES update
2022-03-02
Source: monthly bulk 2026-05
How this organization compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
12 years
↑ 5 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
1619 4th Ave
Canyon, TX 790153824
Mailing address
Po Box 1614
Canyon, TX 790151614
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1205 23rd St Ste 5
Canyon, TX 790155331
Authorized official
Gloria R Fuller, FNP
Owner
📞 8065574138
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jennifer Brown, APRN, FNP-C Nurse Practitioner NPI 1639742794
- Sarah Carlisle, FNP-C Nurse Practitioner NPI 1962010892
- Gloria Lewis, FNP Nurse Practitioner NPI 1245460625
- James Rosson, FNP-C Nurse Practitioner NPI 1043820830
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.