Provider Demographics
NPI:1780774810
Name:GIBSON, LINDA ANN (RN, MSN, ANP-C)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ANN
Last Name:GIBSON
Suffix:
Gender:F
Credentials:RN, MSN, ANP-C
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:WILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2002 HOLCOMB BLVD.
Mailing Address - Street 2:REHAB CARE LINE-2A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4298
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-794-7631
Practice Address - Street 1:2002 HOLCOMB BLVD.
Practice Address - Street 2:REHAB CARE LINE-2A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4298
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-794-7631
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218976363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health