Provider Demographics
NPI:1467065433
Name:GIBBS, CHRISTIAN PHILIP (DNP, FNP-C)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:PHILIP
Last Name:GIBBS
Suffix:
Gender:M
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 HEDGEMOORE CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9453
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2800 BUFORD DR STE 110
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-5107
Practice Address - Country:US
Practice Address - Phone:470-236-4085
Practice Address - Fax:470-323-9177
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN264422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily