Individual
AMANDA NICHOLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
Mailing address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 941-4500
(812) 941-4506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3018117
KY
363LF0000X
Family Nurse Practitioner
Primary
71013862A
IN
Other
Enumeration date
04/11/2023
Last updated
05/05/2023
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