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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Other providers in Galveston