Healthcare Provider Details

I. General information

NPI: 1891337747
Provider Name (Legal Business Name): SHEILA R BRINKMAN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 ITHACA DR
LONGVIEW TX
75604-0610
US

IV. Provider business mailing address

PO BOX 6059
LONGVIEW TX
75608-6059
US

V. Phone/Fax

Practice location:
  • Phone: 903-918-8520
  • Fax: 866-842-1649
Mailing address:
  • Phone: 903-918-8520
  • Fax: 186-684-2164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140963
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: