Provider Demographics
NPI:1780939066
Name:THISSEN, GISELE M (FNP)
Entity type:Individual
Prefix:MS
First Name:GISELE
Middle Name:M
Last Name:THISSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:GISELE
Other - Middle Name:M
Other - Last Name:MOREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2300 WOODFOREST PKWY N STE 250-220
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-6501
Mailing Address - Country:US
Mailing Address - Phone:713-338-9474
Mailing Address - Fax:713-348-9474
Practice Address - Street 1:2300 WOODFOREST PKWY N STE 250-220
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-6501
Practice Address - Country:US
Practice Address - Phone:713-338-9474
Practice Address - Fax:713-348-9474
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022075363LF0000X
CA21989364SC1501X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health