Individual
KIMBERLY YORK GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1391 BROAD AVE, GULFPORT, MS 39501-2419
(228) 863-8868
Mailing address
1391 BROAD AVE, GULFPORT, MS 39501-2419
(228) 863-8868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903488
MS
Other
Enumeration date
08/21/2019
Last updated
03/30/2023
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