Individual
HEATHER RENEE GIBBENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 E JACKSON ST, BRAZIL, IN 47834-2650
(812) 264-2765
Mailing address
501 E JACKSON ST, BRAZIL, IN 47834-2650
(812) 264-2765
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28206311A
IN
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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