Gibboney, William Bryan

Gibboney, William Bryan is an individual health care provider with primary practice located at 1434 Central Ave E , Wiggins MS 39577-9602. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gibboney, William Bryan can be contacted via phone (228) 436-1191.

Contact Information

Primary practice address
1434 Central Ave E Wiggins MS 39577-9602
Phone: (228) 436-1191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R861831 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R861831 Mississippi

Profile Details

NPI number 1225202864
LBN Legal business name Gibboney, William Bryan
Credentials DNP, FNP-C, ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Dec 23rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225202864 NPPES
Mississippi MEDICAID 01030384
Mississippi Other 512I500588

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