NPI 1104065267 · live from the CMS NPI Registry
Melinda Faye Gibson, CRNP
Nurse Practitioner, Pediatrics in Greenville, AL. National Provider Identifier 1104065267, active.
NPI record
| NPI | 1104065267 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 300 N College St, Greenville, AL 36037 |
| Practice phone | 334-382-2681 |
| Mailing address | 46 L V Stabler Dr, Greenville, AL 36037 |
| Enumerated | February 13, 2009 |
| Last updated | February 13, 2019 |
| Sole proprietor | Yes |
| Other names | Melinda Rogers |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-069655 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.