| Doctor Name: | LEA ANNE GILLEY |
| NPI Number: | 1386652436 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 254054 |
| Business Practice Address: | 133 Fm N. 730 #105 Boyd, TX - 76023 |
| Business Phone Number: | 9404332151 |
| Business Fax Number: | 9404332366 |
| Mailing Address: | Po Box 2078, DECATUR |
| State: | TX |
| Postal Code: | 762346156 |
| Phone Number: | 9406261905 |
| Fax Number: | 9406261901 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 05/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 254054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |