Provider Demographics
NPI:1295389690
Name:MCCONNELL, REBECCA KATE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:KATE
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3226 N UNIVERSITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-3800
Mailing Address - Country:US
Mailing Address - Phone:936-234-8488
Mailing Address - Fax:936-234-8482
Practice Address - Street 1:3226 N UNIVERSITY DR STE 300
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-3800
Practice Address - Country:US
Practice Address - Phone:936-234-8488
Practice Address - Fax:936-234-8482
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142445363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner