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General NPI Number Information
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NPI Number | 1093647489
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Entity Type | Individual
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Provider Name | GRACE MARIE GIBSON APRN
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1804 HAYES ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2504
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Country | US
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Telephone | 615-341-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 7715 PORTER HOUSE DR
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City | NASHVILLE
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State | TN
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Zip | 37211-7048
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Country | US
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Telephone | 773-547-5590
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 41354
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License Number State | TN
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