| Ms Leticia M Gibbs, CRNP | |
|
2900 Spring Hill Ave, Mobile, AL 36607-1822 | |
| (251) 287-8420 | |
| (251) 287-8477 |
| Full Name | Ms Leticia M Gibbs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2900 Spring Hill Ave, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871936641 | NPI | - | NPPES |
| 630000013 | Medicaid | AL | |
| 1063439065 | Other | AL | NPI SITE GROUP PAYEE NUMBER |
| 011846 | Other | AL | MEDICARE GROUP PAYEE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-100307 (Alabama) | Primary |
| Entity Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639679962 PECOS PAC ID: 5395881841 Enrollment ID: O20200415001560 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Leticia M Gibbs, CRNP 2900 Spring Hill Ave, Mobile, AL 36607-1822 Ph: (251) 284-8420 | Ms Leticia M Gibbs, CRNP 2900 Spring Hill Ave, Mobile, AL 36607-1822 Ph: (251) 287-8420 |
Mrs. Jennifer Gallagher Williams, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Center St, Ste 1s, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3852 | |
Mrs. Kathleen R. Carlen-magnone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-639-5775 Fax: 251-631-3581 | |
Kayla Clemons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6144 Airport Blvd, Mobile, AL 36608 Phone: 251-476-5050 Fax: 251-450-2770 | |
Mackenzie Krebsbach Roberts, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mobile, AL 36617 Phone: 251-471-7565 | |
Lauren Marie Mcminn, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7456 | |
Katherine Kinsaul, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-435-2620 | |
Wesley Kyle Dees, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617 Phone: 251-445-8282 Fax: 251-445-8281 |