Organization
BENJAMIN R GIBSON PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GIBSON PMHNP (OWNER)
(850) 485-0994
Entity
Organization
Contact information
Practice address
1221 E DE SOTO ST, PENSACOLA, FL 32501-3337
(850) 437-9997
(850) 439-2122
Mailing address
695 TENNYSON PL, PENSACOLA, FL 32503-3233
(850) 485-0994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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