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JAMIE L GULLY NP
NPI 1669736617
Nurse Practitioner - Family in Fort Worth, TX

Active since June 25, 2012
3529 HERITAGE TRACE PKWY STE 137, FORT WORTH, TX 76244(817) 741-7960(817) 741-7581 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie L Gully Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE L GULLY NP (NPI 1669736617) is an individual family provider in Fort Worth, Texas, licensed in Texas (719772) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1669736617
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAMIE L GULLYCredential: NP
Location Address3529 HERITAGE TRACE PKWY STE 137Fort Worth, TX 76244-4971
Mailing Address3529 Heritage Trace Pkwy Ste 137Fort Worth, TX 76244-4971 · (817) 741-7960 · Fax (817) 741-7581
Phone(817) 741-7960
Fax(817) 741-7581
Sole ProprietorNo
Enumeration DateJune 25, 2012
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1669736617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 719772
3529 HERITAGE TRACE PKWY STE 137, Fort Worth, TX 76244
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Other Identifiers 3

Medicare PINTXB160235TX
Medicare PINTXB160214TX
Medicare PINTXB160228TX

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LATHA MATHEW THOMAS RN,FNP
Nurse Practitioner (Family)
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244
Tarrant County (817) 741-7570
DR. FRANCISCO CHACON M.D.
Family Medicine
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244
Tarrant County (817) 741-7960
RYAN P KENDRICK PAC
Physician Assistant
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244
Tarrant County (817) 741-7960
AMBER RENEE MAYES PA-C
Physician Assistant
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244
Tarrant County (817) 741-7960
FAWN MARIE WILLARD FNP
Nurse Practitioner (Family)
3529 HERITAGE TRACE PKWY STE 137
FORT WORTH, TX 76244
Tarrant County (817) 741-7960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Gully's NPI number?

The NPI number for Jamie Gully is 1669736617. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Jamie Gully located?

Jamie Gully practices at 3529 Heritage Trace Pkwy Ste 137, Fort Worth, TX 76244. The listed phone number is (817) 741-7960.

What is Jamie Gully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jamie Gully was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.