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Individual

MRS. KELSEY DANIELLE GIBBONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
146 E MCLELLAND AVE, MOORESVILLE, NC 28115-2611
(980) 920-3367
Mailing address
1218 GRACE MEADOW DR, MOORESVILLE, NC 28115-2710
(704) 838-6961

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GIBB-VVSZH
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F02250706
AANP BOARD CERTIFICATION
01
GIBB-VVSZH
NCBON-NURSE PRACTITIONER
NC
Enumeration date
05/02/2025
Last updated
05/02/2025
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