P Praxis·MD
● Active Type 1 · Individual

MISS Jessica Gillen, M.D.

Obstetrics & Gynecology·Dallas, TX· NPI 1700290467 · Enumerated 2014 · 11 years on NPI
Gillen is 1 of 19 obstetrics & gynecology providers in Dallas and 1 of 159 in Texas.
NPI age
11 years
Enumerated 2014-06-19
Primary specialty
Obstetrics & Gynecology
Plus 2 subspecialties
Licensed in
TX, OK, MO
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 159 active obstetrics & gynecology providers in Texas.

NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
3 states
Top 66% — 33% of peers are multi-state
Subspecialties
1
In the 52% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
4753 Bowser Ct
Dallas, TX 752191513
📞 2149147118
Mailing address
4753 Bowser Ct
Dallas, TX 752191513

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic...
    TX license #V1468MO license #2021032827 taxonomy 207VX0201X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    OK license #30708 taxonomy 207V00000X

Identifiers

TypeValueNotes
05 (MO) 200100758
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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