Individual provider · Type 1 NPI

Atia Gipson

Nurse Practitioner · Orange City, FL

NPI number 1376259564 Active · reactivated Jan 9, 2025

Practice location

1081 Town Center Dr Ste 200
Orange City, FL 32763-8360

Fax (386) 457-4282

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11023099 (FL)

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…

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About NPI 1376259564

Atia Gipson's National Provider Identifier is 1376259564, issued on Jan 30, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange City, FL. The record was last updated on Sep 23, 2025.