Gilley, Lea Anne

Gilley, Lea Anne is an individual health care provider with primary practice located at 2014 Ben Merritt Dr Ste B, Decatur TX 76234-3851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gilley, Lea Anne can be contacted via phone (940) 626-8810.

Contact Information

Primary practice address
2014 Ben Merritt Dr Ste B Decatur TX 76234-3851
Phone: (940) 626-8810
Fax: (940) 626-8811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 254054 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP112010 Texas

Profile Details

NPI number 1386652436
LBN Legal business name Gilley, Lea Anne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 18th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386652436 NPPES
Texas MEDICAID 167244605
Texas Other 883N92
Texas MEDICAID 167244604
Texas Other 8598NZ

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