Provider Demographics
NPI:1649642497
Name:BRATTON, SHELETHA RENEE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHELETHA
Middle Name:RENEE
Last Name:BRATTON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:601 S CLAY ST STE 104
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-5771
Mailing Address - Country:US
Mailing Address - Phone:972-875-6600
Mailing Address - Fax:817-391-3252
Practice Address - Street 1:601 S CLAY ST STE 104
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-5771
Practice Address - Country:US
Practice Address - Phone:972-875-6600
Practice Address - Fax:817-391-3252
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP129245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily