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General NPI Number Information
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NPI Number | 1831853340
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Entity Type | Organization
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Legal Business Name | N GIBSON PSYCH NP
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Dates
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Enumeration Date | 10/30/2021
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 312 THOMAS DR
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City | PANAMA CITY
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State | FL
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Zip | 32408-4902
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Country | US
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Telephone | 850-818-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 THOMAS DR # 332
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City | PANAMA CITY
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State | FL
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Zip | 32408-7444
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Country | US
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Telephone | 850-818-2698
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Fax | 949-437-3422
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Authorized Official
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Title or Position | OWNER/NP
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Name | MS. NANCY L. GIBSON
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Credential | APRN
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Telephone | 850-818-2698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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