Individual provider · Type 1 NPI
Alexis Marie Gibson
Psychiatric/Mental Health Registered Nurse · Louisville, KY
NPI number
1619853546
Active
Practice location
204 E Market St Ste A
Louisville, KY 40202-1218
Mailing address
1838 Payne St
Louisville, KY 40206-1943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 1159296 (KY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1619853546
Alexis Marie Gibson's National Provider Identifier is 1619853546, issued on Aug 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Louisville, KY. The record was last updated on Aug 14, 2025.