Individual
SHIRELY GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
707 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3961
(865) 428-5614
Mailing address
707 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3961
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20235
TN
Other
Enumeration date
03/01/2006
Last updated
07/08/2007
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