Individual
ANGELA DENISE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-2711
Mailing address
PO BOX 369, RULEVILLE, MS 38771-0369
(662) 756-2711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R859490
MS
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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