Healthcare Provider Details

I. General information

NPI: 1477951515
Provider Name (Legal Business Name): TAUNA GULLEY PHD, FNP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2014
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 SUFFOLK AVE STE 1
RICHLANDS VA
24641-2434
US

IV. Provider business mailing address

P.O.BOX 7070
WISE VA
24293
US

V. Phone/Fax

Practice location:
  • Phone: 276-963-0111
  • Fax: 276-963-0005
Mailing address:
  • Phone: 276-328-8850
  • Fax: 276-328-8853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024128995
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number0024128995
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: