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

Gracie Noel Gibson I

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689405953

Gracie Noel Gibson I is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

2100 Gardiner Ln
Louisville, KY 40205-2962
Phone: (502) 413-8640
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 45023393A (IN)

Record details

NPI number1689405953
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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