Healthcare Provider Details

I. General information

NPI: 1689580656
Provider Name (Legal Business Name): ROCHELLE ANN BURRIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PONDEROSA RD
HOWE TX
75459-3663
US

IV. Provider business mailing address

1305 BLANTON DR
SHERMAN TX
75092-5211
US

V. Phone/Fax

Practice location:
  • Phone: 903-745-4407
  • Fax: 903-745-4401
Mailing address:
  • Phone: 620-290-9407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number1001154
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: