Individual
MARY-JOYCE BEASLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6060 PIEDMONT ROW DR S FL 6, CHARLOTTE, NC 28287-3884
(704) 489-3094
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006525
NC
363LF0000X
Family Nurse Practitioner
Primary
5006525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245668938
—
NC
Enumeration date
10/16/2013
Last updated
03/14/2024
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