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

Sunny Makolo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1003467879

Sunny Makolo is a Nurse Practitioner in Greenville, Texas. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Texas.

Years since qualifying
7
Licensed in
AZ, TX
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2405 Stonewall St
Greenville, TX 75401-3349
Phone: (903) 454-3300
Fax: (903) 454-3307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 W Union Hills Dr, Phoenix, AZ 85027-5163 — (480) 424-5228

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 844501 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 250872 (AZ)

Record details

NPI number1003467879
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2019
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address2550 W Union Hills Dr, Phoenix, AZ 85027-5163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Greenville