Individual
MS. DEBRA LYNN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
119 RIVER DR, PIKEVILLE, KY 41501-1685
(606) 437-5500
(606) 433-9690
Mailing address
6239 ZEBULON HWY, PIKEVILLE, KY 41501-3581
(606) 631-3122
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
1048697
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
2243P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225676
ANTHEM
KY
01
—
1197102
CHA
KY
05
—
20098018
—
KY
Enumeration date
11/07/2005
Last updated
11/27/2007
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