Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deidre Gibson

Individual provider Nurse Practitioner · NPI 1396412961

Deidre Gibson is a Nurse Practitioner in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

1094 Hanes Mall Blvd Ste 1140
Winston Salem, NC 27103-1309
Phone: (743) 212-7678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5013002 (NC)

Record details

NPI number1396412961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

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