Individual
NANCY L. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
312 THOMAS DR, PANAMA CITY, FL 32408-4902
(850) 818-2698
Mailing address
1016 THOMAS DR # 332, PANAMA CITY, FL 32408-7444
(850) 625-8515
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
APRN2681032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9053A
MEDICARE PTAN
FL
Enumeration date
10/28/2005
Last updated
04/27/2022
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