MEDICARE: MRS. SHELETHA RENEE BRATTON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP129245	TX

General Provider Information

NPI Number	:	1649642497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELETHA RENEE BRATTON FNP

Provider Business Mailing Address
First Line	:	601 S CLAY ST STE 104
Second Line	:
City	:	ENNIS
State	:	TX
Zip	:	75119-5771
Country	:	US
Telephone Number	:	972-875-6600
Fax Number	:	817-391-3252

Provider Business Practice Location Address
First Line	:	2001 W FERGUSON RD STE 3000
Second Line	:
City	:	MT PLEASANT
State	:	TX
Zip	:	75455-2973
Country	:	US
Telephone Number	:	903-352-3424
Fax Number	:	855-570-8200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	05/18/2026

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