GRACY JILSON WHCNP NPI 1225194764

NPI Information

  • NPI: 1225194764
  • Provider Name: GRACY JILSON, WHCNP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5201 HARRY HINES BLVD
    WISH TUBAL CLINIC
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 590-5306

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NPI Details

Gracy Jilson, WHCNP is a women's health nurse practitioner in Dallas, TX with 6 years of experience. Gracy Jilson, WHCNP NPI is 1225194764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5201 HARRY HINES BLVD
WISH TUBAL CLINIC
DALLAS, TX
ZIP 75235-708
Phone: (214) 590-5306
Fax: (214) 590-2798

The NPI 1225194764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 4/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health578383TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1195875304MEDICAIDTEXAS
2195875307MEDICAIDTEXAS
3195875302MEDICAIDTEXAS
4195875310MEDICAIDTEXAS
5195875308MEDICAIDTEXAS
6195875309MEDICAIDTEXAS
7195875306MEDICAIDTEXAS
8195875301MEDICAIDTEXAS
9195875305MEDICAIDTEXAS
10195875303MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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