LESIA DARLENE GIBSON (NPI# 1275997686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275997686 |
| Entity Type | Individual |
| Full Name | LESIA DARLENE GIBSON |
| Credential | FNP-BC |
| Practice Address |
527 Medical Park Dr Ste 105 Bridgeport WV 26330-9009 |
| Practice Telephone | 3049333885 |
| Mailing Telephone | 3049333885 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
APRN81798 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
527 MEDICAL PARK DR STE 105 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649326075 | Muhammad Salman | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2007-01-26 |
| 1609426824 | Samantha Rose Townsend | Nurse Practitioner | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2019-09-19 |
| 1336639947 | Jennifer April Howard | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2018-05-18 |
| 1265847503 | Bridgeport Pharmacy Inc | Pharmacy | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2014-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275775215 | Patricia Joan Smith | Clinical Nurse Specialist | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300519 | Lois Rebecca Mcdonald | Clinical Nurse Specialist | 129 E. German St., Office #206, Sheperdstown, WV 25443 | 2005-07-17 |
| 1114098563 | Eugene Tad Vickers | Clinical Nurse Specialist | 511 Morris Street, Charleston, WV 25301 | 2006-11-09 |
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on LESIA DARLENE GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.