Individual
MANDY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
402 MCMILLAN RD, WEST MONROE, LA 71291-5326
(318) 338-3540
Mailing address
402 MCMILLAN RD, WEST MONROE, LA 71291-5326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236636
LA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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