Gibbons, Ollie Renee

Gibbons, Ollie Renee is an individual health care provider with primary practice located at 57 Summit Dr , Corbin KY 40701-2746. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gibbons, Ollie Renee can be contacted via phone (606) 528-9700.

Contact Information

Primary practice address
57 Summit Dr Corbin KY 40701-2746
Phone: (606) 528-9700
Fax: (606) 528-8423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3016521 Kentucky

Profile Details

NPI number 1235894700
LBN Legal business name Gibbons, Ollie Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235894700 NPPES
Kentucky Other 3016521 FAMILY MEDICINE
Kentucky MEDICAID F06212829 FAMILY MEDICINE

Popular Providers