Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elayna Brooke Gibson, PA-C

Individual provider Physician Assistant · NPI 1407535685

Elayna Brooke Gibson, PA-C is a Physician Assistant in Louisville, Kentucky. Works from 2 locations. Licensed in Indiana and Kentucky.

Licensed in
IN, KY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

411 E Chestnut St # 5A
Louisville, KY 40202-1713
Phone: (502) 588-7450
Fax: (502) 588-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3321 Ballard Ln, New Albany, IN 47150-7267 — (812) 944-4575

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC154 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 10004124A (IN)

Record details

NPI number1407535685
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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