Corena R Gibson, APRN | |
69 S Main St, Whitley City, KY 42653-6043 | |
(606) 376-7399 | |
(606) 376-7396 |
Full Name | Corena R Gibson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 69 S Main St, Whitley City, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578546495 | NPI | - | NPPES |
78009065 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3003843 (Kentucky) | Primary |
363LF0000X | Nurse Practitioner - Family | APN6725 (Tennessee) | Secondary |
Entity Name | Industrial Wellness Services Of Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851618607 PECOS PAC ID: 3577781582 Enrollment ID: O20140903001931 |
Mailing Address | Practice Location Address |
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Corena R Gibson, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472 | Corena R Gibson, APRN 69 S Main St, Whitley City, KY 42653-6043 Ph: (606) 376-7399 |
Theresa Sue Henderson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5363 Fax: 606-376-9919 | |
Emily Ruthanne Ross, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69 S Main St, Whitley City, KY 42653 Phone: 606-310-3314 Fax: 606-376-7216 | |
Betty A Stanley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 Center Ave, Whitley City, KY 42653 Phone: 606-376-2224 Fax: 606-376-2205 | |
Jennifer J West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 888-960-2041 | |
Mrs. Melissa Beth Cheng, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Medical Ln, Whitley City, KY 42653 Phone: 606-376-7212 Fax: 606-687-3151 | |
Tammie L Emerson-johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Medical Ln, Whitley City, KY 42653 Phone: 606-376-7212 | |
Daphne Ann Clark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 N Highway 27, Whitley City, KY 42653 Phone: 606-376-3326 Fax: 888-960-2041 |