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NPI Code Detail

MEDICARE: KIRSTEN ALYSSA GIBBS FNP

MEDICARE: KIRSTEN ALYSSA GIBBS FNP
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0035044OH

General Provider Information

NPI Number : 1558141176
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTEN ALYSSA GIBBS FNP
Provider Business Mailing Address
First Line : 100 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-1560
Country : US
Telephone Number : 740-446-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2605 JACKSON AVE
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-1615
Country : US
Telephone Number : 304-675-4498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/03/2023

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Directions to “ KIRSTEN ALYSSA GIBBS FNP” Practice Location

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