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General NPI Number Information
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NPI Number | 1851101273
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Entity Type | Individual
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Provider Name | AMESIHA GIBSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2900 N INTERSTATE 35 STE 401
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City | DENTON
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State | TX
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Zip | 76201-5148
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Country | US
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Telephone | 940-565-9557
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Fax | 972-226-0206
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Provider Business Mailing Address
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Address Line | 227 MESA RDG
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City | DECATUR
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State | TX
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Zip | 76234-5277
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Country | US
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Telephone | 601-316-2086
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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 | 1183819
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1183819
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License Number State | TX
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