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General NPI Number Information
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NPI Number | 1396920195
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Entity Type | Organization
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Legal Business Name | JEAN GISLER FNP PLLC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 3004 SAM HOUSTON DR
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City | VICTORIA
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State | TX
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Zip | 77904-2682
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Country | US
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Telephone | 361-575-4100
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Fax | 361-575-4111
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Provider Business Mailing Address
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Address Line | PO BOX 3276
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City | VICTORIA
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State | TX
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Zip | 77903-3276
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Country | US
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Telephone | 361-576-3680
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Fax | 361-576-4219
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Authorized Official
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Title or Position | OWNER
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Name | JEAN G GISLER
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Credential | FNP
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Telephone | 361-575-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 427272
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License Number State | TX
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