Individual
JOSHUA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
326 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 62208-2041
(618) 277-3109
Mailing address
12855 N 40 DR STE 375, SAINT LOUIS, MO 63141-8657
(314) 567-6071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.022464
IL
Other
Enumeration date
01/06/2021
Last updated
09/15/2021
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