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Individual

TERESA R GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
2402 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 929-1400
Mailing address
3035 MORGANS MILL RD, GOODVIEW, VA 24095-2809
(540) 974-5873

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024165391
VA
363LW0102X
Women's Health Nurse Practitioner
0024165391
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007793103
VA
Enumeration date
11/18/2005
Last updated
05/02/2025
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