Individual provider · Type 1 NPI
Tiffanie Gibson
Family Nurse Practitioner · Moultrie, GA
NPI number
1962881359
Active
Practice location
143 US Hwy 319 S, Unit 12
Moultrie, GA 31768-3176
Mailing address
4 Live Oak Ct
Moultrie, GA 31768
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN173450 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962881359
Tiffanie Gibson's National Provider Identifier is 1962881359, issued on May 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moultrie, GA. The record was last updated on Feb 26, 2025.