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Individual

MS. EMMALEEN C. GIBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
2220 N DRUID HILLS RD NE, ATLANTA, GA 30329-3117
(404) 785-7483
Mailing address
949 S INDIAN CREEK DR, TRAFALGAR, IN 46181-8659
(317) 525-0046

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
28187140A
IN
363LN0000X
Neonatal Nurse Practitioner
APRN.CNP.020824
OH
363LN0000X
Neonatal Nurse Practitioner
APRN11026509
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
209023991
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
71005584A
IN

Other

Enumeration date
06/22/2015
Last updated
06/03/2025
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