Individual
ASHLEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 HARRISON ST STE 250, JOHNSON CITY, NY 13790-2176
(607) 770-8600
(607) 770-0853
Mailing address
33 LEWIS RD, 2ND FLOOR, BINGHAMTON, NY 13790
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03751553
—
NY
Enumeration date
11/04/2013
Last updated
10/17/2017
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