Individual
ERICA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
205 WESTPORT DR STE 1, CABOT, AR 72023-3657
(501) 843-6585
Mailing address
205 WESTPORT DR STE 1, CABOT, AR 72023-3657
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
R90320
AR
363LF0000X
Family Nurse Practitioner
Primary
A006126
AR
Other
Enumeration date
03/09/2015
Last updated
02/06/2020
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