Rebecca S Waggoner, NP

NPI #1144612508 in Tyler, Texas

Provider Information

NPI Number: 1144612508
Entity Type: Individual
Name: Rebecca S Waggoner, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Feb 23, 2015
Last Updated: Jun 17, 2025

Practice Location

Address: 703 S FLEISHEL AVE STE 5000
City: Tyler
State: Texas
ZIP Code: 75701-2015
Phone: (903) 606-6139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner - Acute Care — Acute Care	363LA2100X
Nurse Practitioner	363L00000X	Primary

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