LAKISHA GIBSON APRN NPI 1639820194

NPI Information

  • NPI: 1639820194
  • Provider Name: LAKISHA GIBSON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 590 HIGHWAY 18 W
    QUITMAN, MS
    ZIP 39355
  • Phone: (601) 934-9629

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NPI Details

Lakisha Gibson, APRN is a family nurse practitioner in Quitman, MS. Lakisha Gibson, APRN NPI is 1639820194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

590 HIGHWAY 18 W
QUITMAN, MS
ZIP 39355-739
Phone: (601) 934-9629
Fax: (601) 429-1314

The NPI 1639820194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2022 and was last updated on 11/19/2024.

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
1291U00000XClinical Medical Laboratory25D2248675MISSISSIPPINo
2363LF0000XNurse PractitionerFamily907056MISSISSIPPIYes

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: 11/21/2025

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