Individual
ELIZABETH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
(757) 917-5141
Mailing address
1217 LINDALE LN, NORFOLK, VA 23503-3935
(336) 266-9795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190475
VA
Other
Enumeration date
06/12/2024
Last updated
06/20/2024
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