Individual
MRS. STACEY NICOLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 147, HAGERSTOWN, MD 21742-6755
(301) 714-4350
Mailing address
11110 MEDICAL CAMPUS RD STE 147, HAGERSTOWN, MD 21742-6755
(301) 714-4350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R170910
MD
Other
Enumeration date
08/16/2016
Last updated
08/19/2021
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