MRS. LILLIE GIBSON RN
NPI 1609321025
Registered Nurse - School in Grenada, MS

Active since August 16, 2016
250 PENDER DR, GRENADA, MS 38901(662) 226-8900(662) 226-5767 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lillie Gibson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LILLIE GIBSON RN (NPI 1609321025) is an individual school provider in Grenada, Mississippi, licensed in Arkansas (R704695) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1609321025
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMRS. LILLIE GIBSONCredential: RN
Location Address250 PENDER DRGrenada, MS 38901-9312
Mailing Address250 Pender DrGrenada, MS 38901-9312 · (662) 226-8900 · Fax (662) 226-5767
Fax(662) 226-5767
Sole ProprietorYes
Enumeration DateAugust 16, 2016
NPI 1609321025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in AR · R704695
250 PENDER DR, Grenada, MS 38901

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
250 PENDER DR
GRENADA, MS 38901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lillie Gibson's NPI number?

The NPI number for Lillie Gibson is 1609321025. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Lillie Gibson located?

Lillie Gibson practices at 250 Pender Dr, Grenada, MS 38901. The listed phone number is (662) 226-8900.

What is Lillie Gibson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Lillie Gibson was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.