Individual
BENJAMIN RANDALL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1221 E DE SOTO ST, PENSACOLA, FL 32501-3337
(850) 437-9997
(850) 439-2122
Mailing address
695 TENNYSON PL, PENSACOLA, FL 32503-3233
(850) 485-0994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11035935
FL
Other
Enumeration date
10/30/2024
Last updated
03/19/2026
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