Individual ProviderBrittany GibbensNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2338 State Ave, Panama City, FL 32405-4361(850) 640-0663PECOS EnrollmentBased on the most recent information from CMS, provider Brittany Gibbens 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 3 days ago.Profile DetailsProvider ID1891126942Provider TypeIndividualFull NameGibbens, BrittanyTitleMrs.CredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date11/27/2013Last Updated1/28/2022Contact InformationPractice LocationPractice Address2338 State Ave, Panama City, FL 32405-4361Phone(850) 640-0663Fax(850) 889-1510Mailing LocationMailing Address2338 State Ave, Panama City, FL 32405-4361Phone(850) 640-0663Fax(850) 889-1510Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense9278714FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9278714Florida