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Rebecca Jeanne Sullivan

Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care

1401 W Pulaski St
Fort Worth , Texas 76104-2717

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Rebecca Jeanne Sullivan

Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care

1401 W Pulaski St
Fort Worth , Texas 76104-2717

(682) 885-1396

Write a Review Save Call

Rebecca Jeanne Sullivan

Nurse Practitioner - Pediatrics Nurse Practitioner - Primary Care

1401 W Pulaski St
Fort Worth , Texas 76104-2717

(682) 885-1396 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Pediatrics
  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

1401 W Pulaski St Fort Worth , Texas 76104-2717

First Address

  • Rebecca Jeanne Sullivan
  • Po Box 99213
  • Fort Worth, TX
  • Zip : 76199-0213
  • Fax : (682) 885-1396
  • Phone : (682) 885-1860

Second Address

  • Rebecca Jeanne Sullivan
  • 1401 W Pulaski St
  • Fort Worth, TX
  • Zip : 76104-2717
  • Fax : (682) 885-8014
  • Phone : (682) 885-8012

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FAQs


Where did Rebecca Jeanne Sullivan attend graduate school?

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Where did Rebecca Jeanne Sullivan do her residency?

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Where did Rebecca Jeanne Sullivan do her fellowship?

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Is Rebecca Jeanne Sullivan board certified?

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What type of doctor is Rebecca Jeanne Sullivan

Nurse Practitioner - Primary Care

In what state does Rebecca Jeanne Sullivan practice in?

Texas

Where is Rebecca Jeanne Sullivan ’s practice located?

1401 W Pulaski St , Fort Worth, Texas, 76104-2717

What is Rebecca Jeanne Sullivan ’s gender?

Female

Is Rebecca Jeanne Sullivan a sole practitioner?

No

Is Rebecca Jeanne Sullivan accepting new patients?

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What languages does Rebecca Jeanne Sullivan speak?

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Does Rebecca Jeanne Sullivan accept insurance?

Yes, Rebecca Jeanne Sullivan accepts insurance

Does Rebecca Jeanne Sullivan offers telemedicine?

Rebecca Jeanne Sullivan has not indicated if she offers telemedicine

What is Rebecca Jeanne Sullivan ’s professional license number?

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What is Rebecca Jeanne Sullivan ’s NPI number?

1043654577

Does Rebecca Jeanne Sullivan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LP0200X Nurse Practitioner - Pediatrics 691809 TX
Y 363LP2300X Nurse Practitioner - Primary Care AP123430 TX

National Provider Identifier

NPI 1043654577
Provider Name Rebecca Jeanne Sullivan
First Address Fort Worth, TX 76199-0213
Second Address Fort Worth, TX 76104-2717
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/04/2013
Last Update Date 13/04/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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