Provider Demographics
NPI:1467695403
Name:GIBBS, DEBORAH LYNN (NP-C)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:LYNN
Last Name:GIBBS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:177 LONG VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-3438
Mailing Address - Country:US
Mailing Address - Phone:931-224-7965
Mailing Address - Fax:931-649-6409
Practice Address - Street 1:416 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ESTILL SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37330-4037
Practice Address - Country:US
Practice Address - Phone:931-649-3408
Practice Address - Fax:931-649-3409
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14045363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily