Gibbs, Traci Lynn
Gibbs, Traci Lynn is an sole proprietor health care provider with primary practice located at 1054 Highway 19 S , Meridian MS 39301-8205. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gibbs, Traci Lynn can be contacted via phone (601) 531-3200.Contact Information
Primary practice address
1054 Highway 19 S
Meridian MS 39301-8205
Phone: (601) 531-3200
Fax: (600) 531-3107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C5063 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP09407 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP7757 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1451 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R873052 | Mississippi |
Profile Details
NPI number | 1104074210 |
---|---|
LBN Legal business name | Gibbs, Traci Lynn |
Credentials | FPMHNP-BC/LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 3rd, 2008 |
Last updated | Sep 14th, 2023 - about 2 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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