Individual
DASHINA BIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3165 S 2ND ST, LOUISVILLE, KY 40208-1446
(502) 415-5627
Mailing address
3165 S 2ND ST, LOUISVILLE, KY 40208-1446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014016
KY
Other
Enumeration date
02/05/2020
Last updated
09/30/2022
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