Individual
MRS. LYNN M GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11113
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633841
—
TN
01
—
4094794
BCBS
TN
05
—
678063928H PEH
—
GA
01
—
P00171556
RAILROAD MEDICARE
—
Enumeration date
02/22/2006
Last updated
09/12/2025
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