Doctor Name: | MS. DEBRA LYNN GIBSON |
NPI Number: | 1205817301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 1048697 |
Business Practice Address: | 119 River Dr Pikeville, KY - 415011685 |
Business Phone Number: | 6064375500 |
Business Fax Number: | 6064339690 |
Mailing Address: | 6239 Zebulon Hwy, PIKEVILLE |
State: | KY |
Postal Code: | 415013581 |
Phone Number: | 6066313122 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2005 |
NPI Last Update Date: | 11/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 1048697 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |