Individual provider · Type 1 NPI

Jonathan Gipson

Family Nurse Practitioner · Paducah, KY

NPI number 1679998140 Active

Practice location

2603 Kentucky Ave, Suite 404
Paducah, KY 42003-3814

Fax (270) 442-1649

Mailing address

2605 Kentucky Ave, Suite 306
Paducah, KY 42003-3800

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X3008526 (KY)
Family Nurse Practitioner Primary 363LF0000X3008526 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1679998140

Jonathan Gipson's National Provider Identifier is 1679998140, issued on Feb 20, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Paducah, KY. The record was last updated on Dec 2, 2020.