person
Rebecca Jeanne Sullivan, CPNP
Primary Care Nurse Practitioner in Fort Worth, Texas
NPI 1043654577

Rebecca Jeanne Sullivan is a Primary Care Nurse Practitioner based in Fort Worth, TX and is specialized in Primary Care. Rebecca Jeanne Sullivan practices in Fort Worth, TX and has the professional credentials of CPNP. The NPI Number for Rebecca Jeanne Sullivan is 1043654577 and holds a License No. 691809 (Texas).

The current practice location address for Rebecca Jeanne Sullivan is 1401 W Pulaski St, Fort Worth, TX and can be reached out via phone at 682-885-8012 and via fax at 682-885-8014.

Location: 1401 W Pulaski St, Fort Worth, TX, 76199-0213
person
Provider Profile Details
NPI Number
1043654577
Provider Name
Rebecca Jeanne Sullivan
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1401 W Pulaski St, Fort Worth, TX, 76199-0213
Phone Number
682-885-8012
Fax Number
682-885-8014
Provider Enumeration Date
04/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 W Pulaski St
City
State
Zip
76104-2717
Phone Number
682-885-8012
Fax Number
682-885-8014
person
Provider Business Mailing Address Details
Address
1401 W Pulaski St
City
State
Zip
76104-2717
Phone Number
682-885-8012
Fax Number
682-885-8014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP123430 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
691809 (Texas)
Definition
Definition to come...
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