Powell, Rebecca A

Powell, Rebecca A is an individual health care provider with primary practice located at 1505 State Highway 19 S , Athens TX 75751-8950. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Powell, Rebecca A can be contacted via phone (903) 675-1725.

Contact Information

Primary practice address
1505 State Highway 19 S Athens TX 75751-8950
Phone: (903) 675-1725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 509858 Texas

Profile Details

NPI number 1265788285
LBN Legal business name Powell, Rebecca A
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2012
Last updated May 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265788285 NPPES
Texas MEDICAID 306295201
Texas Other P02207511
Texas Other 752616977029
Texas Other 880N25
Texas MEDICAID 306295202
Texas Other 752616977043

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