Individual provider · Type 1 NPI
Lillie Gibson, RN
School Registered Nurse · Grenada, MS
NPI number
1609321025
Active
Practice location
250 Pender Dr
Grenada, MS 38901-9312
Fax (662) 226-5767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | R704695 (AR) |
School Registered Nurse: Definition to come...
Another provider at this address
About NPI 1609321025
Lillie Gibson, RN's National Provider Identifier is 1609321025, issued on Aug 16, 2016. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Grenada, MS. The record was last updated on Sep 27, 2026.