Individual provider · Type 1 NPI

Quartivia Gibson

Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA

NPI number 1003510181 Active

Practice location

202 General Gardner Ave
Lafayette, LA 70501-7824

Mailing address

5439 Burkhardt Rd
Dayton, OH 45431-2111

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X905847 (MS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003510181

Quartivia Gibson's National Provider Identifier is 1003510181, issued on Mar 30, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Jun 9, 2023.