Individual provider · Type 1 NPI

Tara Gibson

Psychiatric/Mental Health Nurse Practitioner · Kokomo, IN

NPI number 1134055437 Active

Practice location

3900 Southland Ave
Kokomo, IN 46902-3689

Mailing address

6732 E 200 N
Kokomo, IN 46901-8338

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71018303A (IN)

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

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About NPI 1134055437

Tara Gibson's National Provider Identifier is 1134055437, issued on Jun 23, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kokomo, IN. The record was last updated on Jun 23, 2026.