Individual ProviderJoy GibsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3165 S 2nd St, Louisville, KY 40208-1446(502) 883-7275PECOS EnrollmentBased on the most recent information from CMS, provider Joy Gibson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1831878610Provider TypeIndividualFull NameGibson, JoyGenderFemaleSole ProprietorNoEnumeration Date7/18/2023Last Updated7/18/2023Contact InformationPractice LocationPractice Address3165 S 2nd St, Louisville, KY 40208-1446Phone(502) 883-7275FaxUnlisted FaxMailing LocationMailing Address2620 Elm Hill Pike, Nashville, TN 37214-3108PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3016896Kentucky