Provider Demographics
NPI:1255900791
Name:GULLEY, FRANCES HOPE
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:HOPE
Last Name:GULLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3316 3RD ST S STE 104
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-6090
Mailing Address - Country:US
Mailing Address - Phone:904-222-6262
Mailing Address - Fax:
Practice Address - Street 1:3316 3RD ST S STE 104
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-6090
Practice Address - Country:US
Practice Address - Phone:904-222-6262
Practice Address - Fax:904-302-8072
Is Sole Proprietor?:No
Enumeration Date:2021-06-20
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013292363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner