Individual provider · Type 1 NPI

Benjamin Randall Gibson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Pensacola, FL

NPI number 1871315747 Active

Practice location

1221 E De Soto St
Pensacola, FL 32501-3337

Fax (850) 439-2122

Mailing address

695 Tennyson Pl
Pensacola, FL 32503-3233

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11035935 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1871315747

Benjamin Randall Gibson, PMHNP's National Provider Identifier is 1871315747, issued on Oct 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pensacola, FL. The record was last updated on Mar 19, 2026.