Heather Renee Gibbens, FNP-C | |
501 E Jackson St, Brazil, IN 47834-2650 | |
(812) 264-2765 | |
Not Available |
Full Name | Heather Renee Gibbens |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 501 E Jackson St, Brazil, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013628809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 28206311A (Indiana) | Primary |
Entity Name | My Mobile Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225495716 PECOS PAC ID: 1052617826 Enrollment ID: O20160304001699 |
Entity Name | My Mobile Md Northern Indiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629623913 PECOS PAC ID: 7517296338 Enrollment ID: O20190904001254 |
Mailing Address | Practice Location Address |
---|---|
Heather Renee Gibbens, FNP-C 501 E Jackson St, Brazil, IN 47834-2650 Ph: (812) 264-2765 | Heather Renee Gibbens, FNP-C 501 E Jackson St, Brazil, IN 47834-2650 Ph: (812) 264-2765 |
Mrs. Lori Jean Wiley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 E National Ave Ste 90a, Brazil, IN 47834 Phone: 812-442-2900 | |
Ms. Haley Newton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 E National Ave Ste 100, Brazil, IN 47834 Phone: 812-442-2820 | |
Shauna Elizabeth Poe-ames, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1214 E National Ave Ste 90a, Brazil, IN 47834 Phone: 812-442-2900 | |
Mrs. Tanya Ruth Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 N Manatee St, Brazil, IN 47834 Phone: 812-531-1127 | |
Kendall Ilia-joan Weber, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 E National Ave Ste 100, Brazil, IN 47834 Phone: 812-442-2820 | |
Ms. Penelope Fay Callaway, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1214 E National Ave Ste 100, Brazil, IN 47834 Phone: 812-442-2100 |