Individual
MRS. KAVETTA RENEE GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
959 LAKE HARBOUR DR APT 1012, RIDGELAND, MS 39157-1075
(601) 498-6108
Mailing address
959 LAKE HARBOUR DR APT 1012, RIDGELAND, MS 39157-1075
(601) 498-6108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
916489
MS
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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