Gibson, Corena R
Gibson, Corena R is an individual health care provider with primary practice located at 69 S Main St , Whitley City KY 42653-6043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gibson, Corena R can be contacted via phone (606) 376-7399.Contact Information
Primary practice address
69 S Main St
Whitley City KY 42653-6043
Phone: (606) 376-7399
Fax: (606) 376-7396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3003843 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN6725 | Tennessee |
Profile Details
| NPI number | 1578546495 |
|---|---|
| LBN Legal business name | Gibson, Corena R |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Sep 15th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578546495 | NPPES |
| Kentucky | MEDICAID | 78009065 |
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