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General NPI Number Information
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NPI Number | 1619853546
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Entity Type | Individual
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Provider Name | MRS. ALEXIS MARIE GIBSON
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 204 E MARKET ST STE A
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City | LOUISVILLE
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State | KY
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Zip | 40202-1218
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Country | US
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Telephone | 502-588-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 1838 PAYNE ST
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City | LOUISVILLE
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State | KY
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Zip | 40206-1943
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Country | US
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Telephone | 502-759-4571
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 1159296
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License Number State | KY
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