THE903NP NPI 1669299889

NPI Information

  • NPI: 1669299889
  • Provider Name: THE903NP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2828 4TH ST # 100
    LONGVIEW, TX
    ZIP 75605
  • Phone: (903) 903-0903

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NPI Details

THE903NP is a primary care nurse practitioner in Longview, TX. THE903NP NPI is 1669299889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2828 4TH ST # 100
LONGVIEW, TX
ZIP 75605-718
Phone: (903) 903-0903
Fax: (903) 213-9045

The provider's authorized official is Charlsie Ferguson Gillcoat .
The authorized official title is Ceo / Nurse Practitioner and has the following contact phone number (903) 903-0903.

The enumeration date for this NPI number is 9/20/2024 and was last updated on 11/23/2025.

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
1363LP2300XNurse PractitionerPrimary CareYes

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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