Provider Demographics
NPI:1851095186
Name:GIBBS, BRIANNA NICOLE (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:NICOLE
Last Name:GIBBS
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:MRS
Other - First Name:BRIANNA
Other - Middle Name:NICOLE
Other - Last Name:MCCOWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, PMHNP-BC
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3000
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023008812363LP0808X
KS53-82091-052363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health