Provider Demographics
NPI:1114953981
Name:NELSON, GISELA TAYLOR (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:GISELA
Middle Name:TAYLOR
Last Name:NELSON
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 ORLANDO CIR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1873
Mailing Address - Country:US
Mailing Address - Phone:469-396-5302
Mailing Address - Fax:
Practice Address - Street 1:201 AMANDA LN
Practice Address - Street 2:SUITE 200
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1390
Practice Address - Country:US
Practice Address - Phone:972-937-1300
Practice Address - Fax:972-937-1389
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX527396363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics