Provider Demographics
NPI:1497411862
Name:GADDY, APRIL LEANN (FNP-C)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LEANN
Last Name:GADDY
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 1:3900 NE STALLINGS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2111
Mailing Address - Country:US
Mailing Address - Phone:936-559-8770
Mailing Address - Fax:
Practice Address - Street 1:3900 NE STALLINGS DR STE 101
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-2111
Practice Address - Country:US
Practice Address - Phone:936-559-8770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1046980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily