Individual provider · Type 1 NPI

Shelby Lynn Sullivan, FNP-C

Nurse Practitioner · Longview, TX

NPI number 1720680267 Active

Practice location

707 E Marshall Ave
Longview, TX 75601-5545

Call (903) 315-4880 Map

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Other practice locations

703 E Marshall Ave Ste 5007, Longview, TX 75601-5554 · (903) 315-4880
121 Private Road 1049 # 2, Diana, TX 75640-4047 · (903) 237-9760

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	1018780 (TX)
Family Medicine Physician	207Q00000X	1018780 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

10 other providers at this address

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About NPI 1720680267

Shelby Lynn Sullivan, FNP-C's National Provider Identifier is 1720680267, issued on Nov 10, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Longview, TX. The record was last updated on Sep 4, 2025.