Individual
JEAN G GISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
606 E NUECES ST, VICTORIA, TX 77901
(361) 575-4100
(361) 575-4111
Mailing address
P.O. BOX 3276, VICTORIA, TX 77903
(361) 575-4100
(361) 575-4111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
427272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038049502
—
TX
05
—
038049503
—
TX
01
—
8N4330
BCBS OF TX #
TX
01
—
8Y8655
BCBS TX
TX
Enumeration date
12/15/2005
Last updated
05/06/2014
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