Provider Demographics
NPI:1295389690
Name:MCCONNELL, REBECCA KATE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:KATE
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Other - First Name:
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Mailing Address - Street 1:3900 NE STALLINGS DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2110
Mailing Address - Country:US
Mailing Address - Phone:936-559-8770
Mailing Address - Fax:936-559-8773
Practice Address - Street 1:3900 NE STALLINGS DR
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-2110
Practice Address - Country:US
Practice Address - Phone:936-559-8770
Practice Address - Fax:936-559-8773
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP142445363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily