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Search › Texas › 363L00000X

Shelby Sullivan, FNP-C

NPI 1720680267 · on the registry since 2020

Practice

Address
707 E Marshall Ave
Longview, TX 75601
Phone
(903) 315-4880
Organisation at this address
Medical Plaza Pharmacy
Medical Plaza Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 703 E Marshall Ave Ste 5007, Longview, TX
  • 121 Private Road 1049 # 2, Diana, TX

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
207Q00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas