Individual
TAVONIE MICHELLE FORD-GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 595-7744
(502) 595-7007
Mailing address
716 W BROADWAY, LOUISVILLE, KY 40202-2216
(502) 238-9911
(502) 238-9912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6222P
KY
Other
Enumeration date
11/12/2009
Last updated
09/08/2014
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