Individual
DR. HEATHER RENEE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
444 ROXBURY RD, ROCKFORD, IL 61107-5059
(815) 398-3000
Mailing address
2205 S PERRYVILLE RD # 477, ROCKFORD, IL 61108-8209
(815) 517-3630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041421874
IL
363L00000X
Nurse Practitioner
Primary
209028852
IL
Other
Enumeration date
11/30/2023
Last updated
12/06/2023
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