Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rebecca Jeanne Sullivan, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1043654577

Rebecca Jeanne Sullivan, CPNP is a Pediatric Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

1401 W Pulaski St
Fort Worth, TX 76104-2717
Phone: (682) 885-8012
Fax: (682) 885-8014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP123430 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 691809 (TX)

Record details

NPI number1043654577
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedApril 26, 2013
Last updated in NPPESApril 13, 2021
Certification dateApril 12, 2021

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