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General NPI Number Information
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NPI Number | 1396127866
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Entity Type | Individual
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Provider Name | EMMALEEN C. GIBSON APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2220 N DRUID HILLS RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-3117
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Country | US
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Telephone | 404-785-7483
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Fax |
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Provider Business Mailing Address
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Address Line | 949 S INDIAN CREEK DR
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City | TRAFALGAR
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State | IN
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Zip | 46181-8659
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Country | US
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Telephone | 317-525-0046
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN.CNP.020824
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | APRN11026509
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 71005584A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 209023991
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 28187140A
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License Number State | IN
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