# CHARLSIE FERGUSON GILLCOAT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629246574
- **Gender:** F
- **Credential:** ACNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP116578 | TX | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP116578 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | AP116578 | TX | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 04/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 193683302 | — | TX |