Individual
TAYLOR GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
4200 W UNIVERSITY DR, PROSPER, TX 75078-9805
(682) 303-4200
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6163
(682) 303-3210
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1169786
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
1169786
TX
Other
Enumeration date
07/27/2024
Last updated
04/07/2026
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