Individual
MS. ADRIA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, AGACNP-BC
Contact information
Practice address
800 ROSE ST # N212, LEXINGTON, KY 40536-0293
(859) 323-5956
Mailing address
800 ROSE ST # N212, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209010884
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
3014147
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400403728
MEDICARE PTAN
IL
Enumeration date
11/05/2013
Last updated
02/06/2020
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