Individual
JOANN GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 953-8271
(314) 996-5291
Mailing address
8101 CLAYTON RD, CLAYTON, MO 63117-1103
(314) 892-8352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008024041
MO
363L00000X
Nurse Practitioner
2017000682
MO
363LF0000X
Family Nurse Practitioner
Primary
2017000682
MO
Other
Enumeration date
04/05/2017
Last updated
09/19/2025
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