Provider Demographics
NPI:1871298638
Name:GLOYD, GEVERNA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:GEVERNA
Middle Name:MARIE
Last Name:GLOYD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 S WEYAND RD
Mailing Address - Street 2:
Mailing Address - City:ROUND TOP
Mailing Address - State:TX
Mailing Address - Zip Code:78954-5146
Mailing Address - Country:US
Mailing Address - Phone:325-665-8367
Mailing Address - Fax:
Practice Address - Street 1:1036 N CIRCLE DR
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-3336
Practice Address - Country:US
Practice Address - Phone:979-877-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily