| Doctor Name: | MRS. REBECCA D. DORRIS |
| NPI Number: | 1023052131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MAN, ARNP-BC |
| License Number: | 1299322 |
| Business Practice Address: | Va Gulf Coast Veterans Healthcare System 312 Kenmore Rd Pensacola, FL - 32503 |
| Business Phone Number: | 8504717563 |
| Business Fax Number: | 8504717518 |
| Mailing Address: | 1257 Ramblewood Dr, GULF BREEZE |
| State: | FL |
| Postal Code: | 325633151 |
| Phone Number: | 8509340913 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1299322 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |