| Doctor Name: | NANCY GIBSON |
| NPI Number: | 1003278847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024173392 |
| Business Practice Address: | 12655 Warwick Blvd Ste 1 Newport News, VA - 236062501 |
| Business Phone Number: | 7575959880 |
| Business Fax Number: | 7575950362 |
| Mailing Address: | 860 Omni Blvd, Ste 303 NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236064434 |
| Phone Number: | 7572328769 |
| Fax Number: | 7572328875 |
| NPI Enumeration Date: | 03/22/2016 |
| NPI Last Update Date: | 03/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024173392 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |