Tricha Gibson, LPN
Individual provider Active NPI Licensed Practical Nurse · Columbia, MS
NPI 1780445478 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1780445478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 339468 (MS)
- Practice address
- 1448 N Main St
Columbia, MS 39429-2068 - Phone
- (601) 736-8143
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339468 | MS | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 339468 | MS | Yes |
Addresses
Primary practice location
1448 N Main St
Columbia, MS 39429-2068
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Phone (601) 705-1901
Other providers in Columbia, MS
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- Heather A Gingell
- Philia C Glinsey
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- Marilyn Griffin
All providers in Columbia, MS · Licensed Practical Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.