Individual
TAWANA GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
102 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 570-1109
(662) 328-3135
Mailing address
102 BRICKERTON ST, COLUMBUS, MS 39701-3608
(662) 570-1109
(662) 328-3135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903876
MS
Other
Enumeration date
07/22/2020
Last updated
12/04/2024
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