Individual
FLORENCETTA H GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 WASHINGTON ST, SUITE 208, MONROE, LA 71201-6714
(318) 322-8482
(318) 322-5694
Mailing address
300 WASHINGTON ST, SUITE 208, MONROE, LA 71201-6714
(318) 322-8482
(318) 322-5694
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
RN036503 AP01392
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164101
—
LA
Enumeration date
03/31/2006
Last updated
02/02/2012
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