Gwendolyn Mathis, DNP-APRN

Nurse practitioner in Grand Prairie, Texas · NPI 1194183137

Gwendolyn Mathis is one of 66 nurse practitioners practicing in Grand Prairie, Texas. Gwendolyn Mathis practices with Minuteclinic Diagnostic Of Texas PLLC.

Registry record (NPPES)

NPI
1194183137
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
4203 S Carrier Pkwy
Grand Prairie, TX 75052-3203
(802) 287-6030
Enumerated
Feb 5, 2016
Record last updated
Apr 6, 2026
License states listed
AZ, NY, TN, TX

Medicare (CMS)

Enrollment
Medicare-enrolled in AZ, MS, TN, TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.