Individual
TIFFANY KATHLEEN GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2492 S CITIES SERVICE HWY STE 1, SULPHUR, LA 70665-6497
(337) 905-1962
Mailing address
6655 LYNN RD, BELL CITY, LA 70630-4015
(337) 396-2539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10186
LA
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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