GIPSON MOBILE HEALTH NPI 1417602582

NPI Information

NPI: 1417602582
Provider Name: GIPSON MOBILE HEALTH
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 26D2249612

Address:
1001 W RUE DE LA BANQUE
SAINT LOUIS, MO
ZIP 63141
Phone: (714) 366-3875
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GIPSON MOBILE HEALTH is a family nurse practitioner in Saint Louis, MO. GIPSON MOBILE HEALTH NPI is 1417602582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 W RUE DE LA BANQUE
SAINT LOUIS, MO
ZIP 63141-134
Phone: (714) 366-3875

The provider's authorized official is Joanne Gipson .
The authorized official title is Owner and has the following contact phone number (714) 366-3875.

The CLIA number assigned to this NPI record is 26D2249612 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2022 and was last updated on 2/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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