Justin David Gellner, FNP-C
Nurse Practitioner, Family in Iowa Park, TX. Individual provider (NPI-1).
NPI number1982189452
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1982189452
- Entity type
- Individual (NPI-1)
- Name
- Justin David Gellner
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2018
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP139095 | TX | Yes |
Practice location
310 W Alameda StIowa Park, TX 76367-1600
Phone 940-592-4141
Mailing address
901 Indiana AveWichita Falls, TX 76301-6719
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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