Gibson, Teresa D

Gibson, Teresa D is an individual health care provider with primary practice located at 91 Enterprise Dr , Rocky Mount NC 27804. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gibson, Teresa D can be contacted via phone (252) 451-3200.

Contact Information

Primary practice address
91 Enterprise Dr Rocky Mount NC 27804
Phone: (252) 451-3200
Fax: (252) 937-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 600092 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 600092 North Carolina

Profile Details

NPI number 1407840473
LBN Legal business name Gibson, Teresa D
Credentials ANP GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407840473 NPPES
North Carolina Other 1850C BCBS OF NC
North Carolina Other 500005758 BCBS OF NC
North Carolina MEDICAID 7000423 BCBS OF NC

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