Individual
MRS. LATASHA MICHELLE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3610 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4418
(770) 294-2780
Mailing address
305 CENTENNIAL OLYMPIC PARK DR NW UNIT 2733, ATLANTA, GA 30313-1978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP308921
GA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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