REBECCA JEANNE SULLIVAN

FORT WORTH, TX
NPI1043654577
Former NameREBECCA JEANNE SHERRILL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TX  AP123430)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  691809)
Enumeration Date2013-04-26
Last Update Date2021-04-13
Business Address
REBECCA JEANNE SULLIVAN CPNP
1401 W PULASKI ST
FORT WORTH, TX 76104-2717
Phone number: 682-885-8012
Mailing Address
REBECCA JEANNE SULLIVAN CPNP
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-1860