Healthcare Provider Details

I. General information

NPI: 1386325116
Provider Name (Legal Business Name): REBECCA BANKS GILBERT DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 EASTWOOD DR
WALLACE NC
28466-9201
US

IV. Provider business mailing address

110 EASTWOOD DR
WALLACE NC
28466-9201
US

V. Phone/Fax

Practice location:
  • Phone: 910-285-2330
  • Fax:
Mailing address:
  • Phone: 910-285-2330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number277790
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018549
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: