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General NPI Number Information
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NPI Number | 1942099361
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Entity Type | Individual
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Provider Name | KELSEY DANIELLE GIBBONS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 146 E MCLELLAND AVE
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City | MOORESVILLE
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State | NC
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Zip | 28115-2611
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Country | US
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Telephone | 980-920-3367
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 GRACE MEADOW DR
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City | MOORESVILLE
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State | NC
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Zip | 28115-2710
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Country | US
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Telephone | 704-838-6961
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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 | GIBB-VVSZH
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License Number State | NC
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