Individual
WYSHIKA LADAWN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 RUTH DR, HAMMOND, LA 70401-1425
(770) 906-3255
Mailing address
101 RUTH DR, HAMMOND, LA 70401-1425
(770) 906-3255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198686
GA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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