Waggoner, Rebecca S

Waggoner, Rebecca S is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 5000 , Tyler TX 75701-2015. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Waggoner, Rebecca S can be contacted via phone (903) 606-6139.

Contact Information

Primary practice address
703 S Fleishel Ave Ste 5000 Tyler TX 75701-2015
Phone: (903) 606-6139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60123376 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP60542393 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1004878 Texas

Profile Details

NPI number 1144612508
LBN Legal business name Waggoner, Rebecca S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2015
Last updated Jun 17th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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