Individual
MS. STEPHANIE RENAE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6012 MAIN ST, VOORHEES, NJ 08043-4659
(856) 325-6622
Mailing address
6012 MAIN ST, VOORHEES, NJ 08043-4659
(856) 325-6622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR17445700
NJ
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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