MEDICARE: MRS. TONI T. GABLE CPNP-AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	R851046	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427282599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONI T. GABLE CPNP-AC

Provider Business Mailing Address
First Line	:	3244 POPLAR SPRINGS DR
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39305-4625
Country	:	US
Telephone Number	:	601-668-1236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 HIGHWAY 19 N
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39307-5335
Country	:	US
Telephone Number	:	601-696-3232
Fax Number	:	601-696-3231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	04/29/2026

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