| NPI | 1477953321 |
|---|---|
| Doing Business As | DEACONESS GIBSON MAIN STREET |
| Entity Type | Organization |
| Authorized Contact | LOIS MORGAN VP, Cno 812-385-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2020-11-11 |