Provider Demographics
NPI:1376235788
Name:GORRELL, ZYMEASHIA (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ZYMEASHIA
Middle Name:
Last Name:GORRELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4607 TIMBERGLEN RD APT 317
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-5239
Mailing Address - Country:US
Mailing Address - Phone:609-876-0665
Mailing Address - Fax:
Practice Address - Street 1:4607 TIMBERGLEN RD APT 317
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-5239
Practice Address - Country:US
Practice Address - Phone:609-876-0665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX861747363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily