Gibbons, Nicole Ann

Gibbons, Nicole Ann is an individual health care provider with primary practice located at 2908 Wye Oak Dr , Belleville IL 62221-7039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibbons, Nicole Ann can be contacted via phone (618) 340-2280.

Contact Information

Primary practice address
2908 Wye Oak Dr Belleville IL 62221-7039
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022031232 Missouri

Profile Details

NPI number 1376263087
LBN Legal business name Gibbons, Nicole Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2022
Last updated Sep 1st, 2022 - about 3 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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