Individual
EMILY REBECCA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1530 UNION RD STE A, GASTONIA, NC 28054-2201
(704) 867-6188
(704) 866-4437
Mailing address
1530 UNION RD STE A, GASTONIA, NC 28054-2201
(704) 867-6188
(704) 866-4437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101062
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005019
—
NC
05
—
7003930
—
NC
Enumeration date
11/01/2006
Last updated
08/25/2017
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