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

Mrs. Emily Gibson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1407438146

Mrs. Emily Gibson, NURSEPRACTITIONER is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

675 Justice Way Rm C0049
Indianapolis, IN 46203
Phone: (877) 465-6650
Fax: (804) 294-2775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 203 E Main St, Richmond, IN 47374-4208 — (765) 973-9294

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0028533 (OH)

Record details

NPI number1407438146
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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