Individual
MARY J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2117 HARTFORD RD, HAMPTON, VA 23666-2408
(757) 825-4273
(757) 825-4276
Mailing address
2117 HARTFORD RD, HAMPTON, VA 23666-2408
(757) 825-4273
(757) 825-4276
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024167301
VA
Other
Enumeration date
10/16/2007
Last updated
02/25/2010
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