| Doctor Name: | DR. TAUNA GULLEY |
| NPI Number: | 1477951515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, FNP, MSN |
| License Number: | 0024128995 |
| Business Practice Address: | 233 Chase Street Suite 100 Clintwood, VA - 24228 |
| Business Phone Number: | 2763288850 |
| Business Fax Number: | 2763288853 |
| Mailing Address: | P.o.box 7070, WISE |
| State: | VA |
| Postal Code: | 24293 |
| Phone Number: | 2763288850 |
| Fax Number: | 2763288853 |
| NPI Enumeration Date: | 12/05/2014 |
| NPI Last Update Date: | 12/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | 0024128995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |