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RENELLA BOULLION APRN, FNP-BC
NPI 1003442906
Nurse Practitioner - Pediatrics in Livingston, TX

Active since March 23, 2020
400 OGLETREE DR, LIVINGSTON, TX 77351(936) 328-8812 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2022, Nov 3, 2021, Mar 23, 2020 (3 updates tracked since 2020).

About Renella Boullion Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENELLA BOULLION APRN, FNP-BC (NPI 1003442906) is an individual pediatrics provider in Livingston, Texas, licensed in Texas (AP145643) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1003442906
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameRENELLA BOULLIONCredential: APRN, FNP-BC
Location Address400 OGLETREE DRLivingston, TX 77351-6783
Mailing Address400 Ogletree DrLivingston, TX 77351-6783 · (936) 328-8812
Phone(936) 328-8812
Sole ProprietorYes
Enumeration DateMarch 23, 2020
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1003442906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP145643
400 OGLETREE DR, Livingston, TX 77351
Open in Google Maps ↗

Other Identifiers 2

MedicaidAP145643TX
OtherAP145643TX · Private Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENEESHA JONES
Nurse Practitioner (Pediatrics)
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (281) 592-6000
MARLO BRAWNER MD
Pediatrics
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (936) 328-8812
MR. KARL ALLEN SCHNEIDER APRN, FNP-C
Nurse Practitioner (Family)
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (936) 328-8812
MIKAYLA FIELDING FNP-C
Nurse Practitioner (Primary Care)
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (936) 328-8812
DR. CAROL L JACOBS MD
Pediatrics (Adolescent Medicine)
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (936) 328-8812
LIVINGSTON PEDIATRIC CLINIC PA
Pediatrics
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (936) 328-8812
LORA LYNN HOLT FNP
Nurse Practitioner (Family)
400 OGLETREE DR
LIVINGSTON, TX 77351
Polk County (936) 328-8812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renella Boullion's NPI number?

The NPI number for Renella Boullion is 1003442906. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Renella Boullion located?

Renella Boullion practices at 400 Ogletree Dr, Livingston, TX 77351. The listed phone number is (936) 328-8812.

What is Renella Boullion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Renella Boullion was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.