Individual
MS. DELOIS S ELLIES GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4271 W 3RD ST, DAYTON, OH 45417-1406
(937) 971-7031
(937) 949-5839
Mailing address
PO BOX 746071, ATLANTA, GA 30374-6071
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028827
OH
Other
Enumeration date
05/12/2021
Last updated
10/25/2023
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