NPI 1003510181

Quartivia Gibson

Practitioner Psychiatric/Mental Health Nurse Practitioner Lafayette, LA

Practice location

Address: 202 General Gardner Ave, Lafayette, LA 70501-7824
Phone: (337) 232-9457
Mailing address: 5439 Burkhardt Rd, Dayton, OH 45431-2111

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 905847 (MS)

Other Nurse Practitioner providers in Louisiana →

Registry record

NPI: 1003510181
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2023
Record last updated: 9 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.