Individual
KATRINA GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
(318) 629-4833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
207621
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
207621
LA
Other
Enumeration date
05/14/2019
Last updated
03/14/2023
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