Individual
KATIE BETH WORTHY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 CARRIAGE PARKE DR, PURVIS, MS 39475-6052
(662) 825-4731
Mailing address
46 CARRIAGE PARKE DR, PURVIS, MS 39475-6052
(662) 825-4731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905640
MS
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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