Individual provider · Type 1 NPI

Rebecca Jeanne Sullivan, CPNP

Primary Care Nurse Practitioner · Fort Worth, TX

NPI number 1043654577 Active

Practice location

1401 W Pulaski St
Fort Worth, TX 76104-2717

Call (682) 885-8012 Map

Fax (682) 885-8014

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X691809 (TX)
Primary Care Nurse Practitioner Primary 363LP2300XAP123430 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1043654577

Rebecca Jeanne Sullivan, CPNP's National Provider Identifier is 1043654577, issued on Apr 26, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 13, 2021.