Mrs. Tiffany Shante Gibson
Nurse Practitioner Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
291 Broad St
Kernersville
, North Carolina 27284-2932
Mrs. Tiffany Shante Gibson
Nurse Practitioner Nurse Practitioner - Women's Health Nurse Practitioner - Family Medicine
291 Broad St
Kernersville
, North Carolina 27284-2932
(336) 996-9539
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Mrs. Tiffany Shante Gibson
- Po Box 751803
- Charlotte, NC
- Zip : 28275-1803
- Fax : (336) 996-9539
- Phone : (336) 993-8181
Second Address
- Mrs. Tiffany Shante Gibson
- 291 Broad St
- Kernersville, NC
- Zip : 27284-2932
- Fax : (336) 996-9539
- Phone : (336) 993-8181
Reviews
FAQs
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Is Mrs. Tiffany Shante Gibson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5002056 | NC |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 0050-02056 | NC |
| N | 363LW0102X | Nurse Practitioner - Women's Health | 0050-02056 | NC |
National Provider Identifier
| NPI | 1033212287 |
|---|---|
| Provider Name | Mrs. Tiffany Shante Gibson |
| First Address | Charlotte, NC 28275-1803 |
| Second Address | Kernersville, NC 27284-2932 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 28/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.