Individual
ALFEA RENISE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 853-0883
Mailing address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11042622
FL
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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