Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 5008263 | NC |
NPI | 1003271834 |
---|---|
Provider Name | Allison Gibson |
First Address | Durham, NC 27710-1000 |
Second Address | Durham, NC 27710-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2015 |
Last Update Date | 19/12/2019 |