Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ronda Gully, FNP-C

Individual provider Family Nurse Practitioner · NPI 1275087603

Mrs. Ronda Gully, FNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Comprehensive Rehab Consultants PLLC, a 250-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3559 Roy Ave
Saint Louis, MO 63114-4229
Phone: (618) 670-9967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016028859 (MO)

Record details

NPI number1275087603
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 15, 2016
Last updated in NPPESAugust 15, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Comprehensive Rehab Consultants Pllc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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