Individual
SHANNON GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
(601) 703-5600
(601) 703-5690
Mailing address
PO BOX 228, WEARE, NH 03281-0228
(601) 681-4985
(603) 529-5981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874657
MS
Other
Enumeration date
01/22/2014
Last updated
03/19/2015
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