Provider Demographics
NPI:1447731922
Name:GIBSON, CHRISTINA MARY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARY
Last Name:GIBSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:MARY
Other - Last Name:SABOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5100 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33708-3354
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5100 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33708-3354
Practice Address - Country:US
Practice Address - Phone:727-319-4535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9493771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily