Individual provider · Type 1 NPI
Michelle Nicole Gibson, AGAC-NP
Gerontology Nurse Practitioner · Indianapolis, IN
NPI number
1902414709
Active
Practice location
1801 N Senate Blvd
Indianapolis, IN 46202-1228
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71010174A (IN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 28212375A (IN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1902414709
Michelle Nicole Gibson, AGAC-NP's National Provider Identifier is 1902414709, issued on Jul 17, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 17, 2022.