Provider Demographics
NPI:1386199206
Name:GILL, TEJINDER KAUR (FNP-C)
Entity Type:Individual
Prefix:
First Name:TEJINDER
Middle Name:KAUR
Last Name:GILL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:TEJINDER
Other - Middle Name:KAUR
Other - Last Name:BATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3013 BROOKVALE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3750
Mailing Address - Country:US
Mailing Address - Phone:469-328-7668
Mailing Address - Fax:
Practice Address - Street 1:321 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7378
Practice Address - Country:US
Practice Address - Phone:903-893-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily