Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jelisa Durroh, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1780455261

Jelisa Durroh, WHNP-BC is a Nurse Practitioner in Galveston, Texas. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Maryland and Texas.

Years since qualifying
5
Licensed in
MD, TX
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

301 University Blvd
Galveston, TX 77555-5303
Phone: (409) 772-6803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 502-2037

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 1095185 (TX)
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X · Licence 1095185 (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence AC008124 (MD)

Record details

NPI number1780455261
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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