Individual
MRS. LORI S GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
13100 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
(772) 581-4477
Mailing address
13100 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
(772) 276-6689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3053802
FL
363LP2300X
Primary Care Nurse Practitioner
APRN3053802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3577400
—
FL
Enumeration date
07/20/2009
Last updated
10/17/2023
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