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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RENELLA BOULLION, APRN, FNP-BC

Active Sole Proprietor

RENELLA BOULLION, APRN, FNP-BC is a Pediatric Nurse Practitioner healthcare provider located in LIVINGSTON, Texas. NPI 1003442906 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · LIVINGSTON, TX

Registration Details

NPI Number
1003442906
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2020 (6.3607438850655 yrs)
Last Updated
Jul 14, 2022
License
AP145643 (TX)
Sole Proprietor
Yes

Practice Information

Address
400 OGLETREE DR
LIVINGSTON, TX, 773516783
Browse TX providers · Browse ZIP 77351
Phone
9363288812
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in LIVINGSTON, TX

Name Credential NPI
DENEESHA JONES 1023862141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.