Individual
MS. LETICIA M GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2900 SPRING HILL AVE, MOBILE, AL 36607-1822
(251) 287-8420
(251) 287-8477
Mailing address
2900 SPRING HILL AVE, MOBILE, AL 36607-1822
(251) 284-8420
(251) 284-8477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-100307
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
—
1063439065
NPI SITE GROUP PAYEE NUMBER
AL
05
—
630000013
—
AL
Enumeration date
04/11/2013
Last updated
12/27/2021
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