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Organization
IVY HEALTHCARE
Active
Organization
IVY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BRINKMAN NP (OWNER/PROVIDER)
(903) 918-8520
Entity
Organization
Contact information
Practice address
1100 N 4TH ST, LONGVIEW, TX 75601-4739
(903) 918-8520
(866) 842-1649
Mailing address
PO BOX 6059, LONGVIEW, TX 75608-6059
(903) 918-8520
(866) 842-1649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP140963
LICENSE TO PRACTICE
TX
Enumeration date
10/13/2020
Last updated
01/07/2021
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