NPI 1134824519
Mickey Gibson
Practice location
- Address
- 126 Plantation Trce, Bossier City, LA 71112-8806
- Phone
- (318) 245-1120
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1134824519
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Apr 2023
- Record last updated
- 4 Apr 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.