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NPI Code Detail

MEDICARE: TERESA R GIBSON WHNP

MEDICARE: TERESA R GIBSON WHNP
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
1363LW0102XWomen's Health Nurse Practitioner0024165391VA
2363L00000XNurse Practitioner0024165391VA

Other Identifiers

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

General Provider Information

NPI Number : 1700868213
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA R GIBSON WHNP
Provider Business Mailing Address
First Line : 3035 MORGANS MILL RD
Second Line :
City : GOODVIEW
State : VA
Zip : 24095-2809
Country : US
Telephone Number : 540-974-5873
Fax Number :
Provider Business Practice Location Address
First Line : 2402 ATHERHOLT RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-2148
Country : US
Telephone Number : 434-929-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 05/02/2025

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Directions to “ TERESA R GIBSON WHNP” Practice Location

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