Provider Demographics
NPI:1073738571
Name:GIBB, JOYCE ELLEN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ELLEN
Last Name:GIBB
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ALLEGHENY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2058
Mailing Address - Country:US
Mailing Address - Phone:412-826-9500
Mailing Address - Fax:412-826-1884
Practice Address - Street 1:215 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2058
Practice Address - Country:US
Practice Address - Phone:412-826-9500
Practice Address - Fax:412-826-1884
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily