How do I deal with fighting to be respected as a full provider?

You carry a real provider's load and still have to keep proving you belong at that level. That constant fight to be seen as full rather than lesser is exhausting in a way that has nothing to do with the medicine. It is the extra job on top of the job. It is fair to be tired of it. Here is a distinction that can save some of your energy. There is the respect of the system, titles and rules and how you are labeled, and there is the respect of the work itself, which shows up in every patient you help and every colleague who has watched you be right. You cannot single-handedly fix the first. You can keep quietly, undeniably winning the second. Over time, solid work is the argument that is hardest to dismiss. Pick your battles instead of fighting every slight. Some are worth pushing on, and some just drain you for nothing. Spend your energy where it changes something, lean on the peers who see your value, and do not let the fight for recognition eat the satisfaction of the care you actually give. You know what you do. Let the work keep proving it, and stop spending yourself trying to convince the ones who will not look.