Angela Lee Gulley, APRN.CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0041960 Issued in OH

Practice address

1217 Watervliet Ave
Dayton, OH 45420-2705

Phone

(937) 684-3645

NPI assigned

Mar 14, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1497079834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WATERVLIET AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454202705",
            "telephone_number": "937-684-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WATERVLIET AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454202705",
            "telephone_number": "937-684-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APRN.CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0041960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Guise
• Jessica Guizzo
• Jill Renae Gulczinski, PA-C
• Shatoria Chantai Gullatte
• Shawon Lynn Gullette, CERTIFIED HAIR LOSS
• Joshua Dominique Gulliford
• Sergei Rafael Guma, MD/PHD
• Shannon Gunckel
• Lauren McKenzie Gunn
• Marcy J Gunn, PSY.D.

• Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.