Gibbs Wound Care Llc

LBN: Gibbs Wound Care Llc
Gibbs Wound Care Llc is an health care organization with primary practice located at 2210 Barron Rd Room 205, Poplar Bluff MO 63901-1908. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as the primary health care specialty. Gibbs Wound Care Llc can be contacted via phone (573) 686-4133, or through Gibbs, Devona D via phone (573) 686-4133.

Contact Information

Primary practice address
2210 Barron Rd Room 205 Poplar Bluff MO 63901-1908
Phone: (573) 686-4133
Fax: (573) 778-1099
Website:
Map and Directions
Authorized official contact:
Name: Gibbs, Devona D Family Nurse Practitioner (FNP)
Phone: (573) 686-4133

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 0236239 Missouri

Profile Details

NPI number 1902279110
LBN Legal business name Gibbs Wound Care Llc
DBA Doing business as
Authorized official Gibbs, Devona D Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2015
Last updated Nov 10th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902279110 NPPES
Missouri Other 064033 MISSOURI STATE BOARD OF NURSING

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