Mrs Lillie Gibson, RN - Registered Nurse in Grenada, MS

Mrs Lillie Gibson, RN is a Registered Nurse - School based in Grenada, Mississippi. Mrs Lillie Gibson is licensed to practice in Arkansas (license number R704695) and her current practice location is 250 Pender Dr, Grenada, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 226-8900.

NPI number for Mrs Lillie Gibson is 1609321025 and her current mailing address is 250 Pender Dr, Grenada, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609321025.

Contact Information

Mrs Lillie Gibson, RN
250 Pender Dr,
Grenada, MS 38901-9312
(662) 226-8900
(662) 226-5767



Provider's Profile

Full NameMrs Lillie Gibson
GenderFemale
SpecialityRegistered Nurse - School
Location250 Pender Dr, Grenada, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609321025
  • Provider Enumeration Date: 08/16/2016
  • Last Update Date: 08/16/2016

Medical Identifiers

Medical identifiers for Mrs Lillie Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609321025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WS0200XRegistered Nurse - School R704695 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lillie Gibson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lillie Gibson, RN
250 Pender Dr,
Grenada, MS 38901-9312

Ph: (662) 226-8900
Mrs Lillie Gibson, RN
250 Pender Dr,
Grenada, MS 38901-9312

Ph: (662) 226-8900

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Registered Nurse Nurses in Grenada, MS

Tonesha Spearman, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 100a Windmill Cv, Grenada, MS 38901
Phone: 662-417-3830    
Mr. Lewis Wesley Keen Jr., MSN CRNA
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 960 J K Avent Dr, Grenada, MS 38901
Phone: 662-227-7375    
Jessica Heath Alldread, FNP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Sunset Dr Ste 101, Grenada, MS 38901
Phone: 662-227-1744    Fax: 662-226-1116
Chasity Davis, FNP-C
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1209 Sunset Dr, Grenada, MS 38901
Phone: 662-294-0665    
David Van Zandt Hesley-hernandez, RN
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 960 Avent Dr, Grenada, MS 38901
Phone: 903-746-5363    
Mrs. Diana Rochelle Cashaw, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 85 G Hollow Cv, Grenada, MS 38901
Phone: 662-614-7709    

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