Individual
MS. TERESA L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-C
Contact information
Practice address
102 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-6713
(606) 439-6710
Mailing address
179 GRAYS BR, JENKINS, KY 41537-8701
(606) 634-4710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1082663
KY
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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