NPI 1235894700 · live from the CMS NPI Registry
Ollie Renee Gibbons, APRN
Nurse Practitioner, Pediatrics in Corbin, KY. National Provider Identifier 1235894700, active.
NPI record
| NPI | 1235894700 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 57 Summit Dr, Corbin, KY 40701 |
| Practice phone | 606-528-9700 |
| Enumerated | November 1, 2021 |
| Last updated | November 1, 2021 |
| Sole proprietor | No |
| Other names | Ollie Gibbons |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 3016521 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.