Individual provider · Type 1 NPI

Katie Beth Gibbs

Nurse Practitioner · Petal, MS

NPI number 1194662767 Active

Practice location

50 Parkway Ln Ste 100
Petal, MS 39465-3059

Mailing address

46 Carriage Parke Dr
Purvis, MS 39475-6052

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X908429 (MS)
Nurse Practitioner Primary 363L00000X908429 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

Other nurse practitioner providers in Petal

See all in Petal →

About NPI 1194662767

Katie Beth Gibbs's National Provider Identifier is 1194662767, issued on May 1, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Petal, MS. The record was last updated on Jul 17, 2026.