Individual provider · Type 1 NPI

Gracie Noel Gibson I

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1689405953 Active

Practice location

2100 Gardiner Ln
Louisville, KY 40205-2962

Call (502) 413-8640 Map

Mailing address

11385 S Old Bear Creek Rd
Pekin, IN 47165-8622

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X45023393A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689405953

Gracie Noel Gibson I's National Provider Identifier is 1689405953, issued on Aug 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Aug 9, 2024.