| Doctor Name: | DR. WILLIAM BRYAN GIBBONEY |
| NPI Number: | 1225202864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP, FNP-C, ACNP-BC |
| License Number: | R861831 |
| Business Practice Address: | 1434 Central Ave E Wiggins, MS - 395779602 |
| Business Phone Number: | 2284361191 |
| Business Fax Number: | |
| Mailing Address: | 6699 Old Fort Bayou Rd, OCEAN SPRINGS |
| State: | MS |
| Postal Code: | 395647987 |
| Phone Number: | 2288724349 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 06/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R861831 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |