Gibson, Lillie

Gibson, Lillie is an sole proprietor health care provider with primary practice located at 250 Pender Dr , Grenada MS 38901-9312. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Gibson, Lillie can be contacted via phone (662) 226-8900.

Contact Information

Primary practice address
250 Pender Dr Grenada MS 38901-9312
Fax: (662) 226-5767
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R704695 Arkansas

Profile Details

NPI number 1609321025
LBN Legal business name Gibson, Lillie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2016
Last updated Aug 16th, 2016 - about 8 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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