Renella Boullion is a Livingston, Texas based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Renella Boullion is AP145643 for Pediatrics in Texas. Her current practice location is 400 Ogletree Dr, Livingston. Patients can reach her at 936-328-8812. Renella Boullion is APRN, FNP-BC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1003442906. Renella Boullion specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Renella Boullion speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003442906
NPI Enumeration Date:
23 Mar, 2020
NPI Last Update On:
14 Jul, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Renella Boullion are as mentioned below.
License Number
Specialization
State
Status
AP145643
Pediatrics
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Renella Boullion such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
AP145643
Medicaid
Texas
AP145643
Other
Texas
PRIVATE INSURANCE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.