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General NPI Number Information
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NPI Number | 1548702020
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Entity Type | Individual
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Provider Name | KENDRA GIBBS FNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2105 EAST AGGIE ROAD
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City | JONESBORO
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State | AR
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Zip | 72401
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Country | US
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Telephone | 870-972-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 111 MURPHREE AVE
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City | CENTERVILLE
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State | TN
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Zip | 37033-1418
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Country | US
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Telephone | 931-729-3516
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 40271
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License Number State | TN
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