Individual
DONNA J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSNED, RN, FNP-C
Contact information
Practice address
551 BREVARD RD, ASHEVILLE, NC 28806-2316
(828) 212-7021
(828) 232-8218
Mailing address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 785-3200
(813) 630-6105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004028
NC
363LF0000X
Family Nurse Practitioner
5004028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004285
—
NC
01
—
P00784829
RR MEDICARE
NC
Enumeration date
07/22/2008
Last updated
05/29/2020
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