Individual
ANGELA GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 205, BOWLING GREEN, KY 42103-7947
(270) 745-7246
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(270) 745-7246
(270) 282-2027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008501
KY
363LA2200X
Adult Health Nurse Practitioner
3008501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100281220
—
KY
Enumeration date
01/30/2014
Last updated
02/13/2024
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