Individual
MRS. JOYCE EBOBOSERE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
101 W HAWKINS PKWY STE 1, LONGVIEW, TX 75605-1833
(903) 331-0162
(903) 331-0132
Mailing address
101 W HAWKINS PKWY STE 1, LONGVIEW, TX 75605-1833
(903) 331-0162
(903) 331-0132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP137345
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP137345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391720501
—
TX
Enumeration date
05/01/2018
Last updated
12/05/2025
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