Individual
MS. CANDICE MICHELLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
326 ROLAND AVE, OWENTON, KY 40359
(859) 578-3200
(859) 534-2627
Mailing address
282 SPARTA SANDERS RD, SANDERS, KY 41083-9603
(502) 545-0192
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015824
KY
Other
Enumeration date
03/04/2021
Last updated
01/21/2026
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