Individual
ALEXANDRIA GIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 387-0509
(580) 218-8963
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 387-0509
(580) 218-8963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203717
OK
Other
Enumeration date
07/08/2025
Last updated
09/30/2025
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