Provider Demographics
NPI:1083332704
Name:GIPSON, APRIL LASHAY
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LASHAY
Last Name:GIPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MENLO CT
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2144
Mailing Address - Country:US
Mailing Address - Phone:707-752-1777
Mailing Address - Fax:
Practice Address - Street 1:115 MENLO CT
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2144
Practice Address - Country:US
Practice Address - Phone:707-752-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program