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Individual

MRS. 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) 495-6334
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334

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
05/12/2026
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