NPI 1023766862

Ernest Leonard Gibson

Practitioner Psychiatric/Mental Health Nurse Practitioner Decatur, GA

Practice location

Address: 2561 Captains Row, Decatur, GA 30035-3062
Phone: (404) 839-2886

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence RN207432 (GA)

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Registry record

NPI: 1023766862
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Mar 2022
Record last updated: 11 Mar 2022

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.