| Doctor Name: | CORINNE DOLORES GIBSON |
| NPI Number: | 1497935761 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC |
| License Number: | 0001178024 |
| Business Practice Address: | 175 Military Ln Gate City, VA - 242512874 |
| Business Phone Number: | 2764521144 |
| Business Fax Number: | 2764521140 |
| Mailing Address: | Po Box 9054, GRAY |
| State: | TN |
| Postal Code: | 376159054 |
| Phone Number: | 4234673600 |
| Fax Number: | 4234673644 |
| NPI Enumeration Date: | 11/05/2007 |
| NPI Last Update Date: | 11/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 0001178024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |