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Individual

JESSIE ANN GIBSON

Active
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Individual

JESSIE ANN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10258537
OR
133V00000X
Registered Dietitian
11340
OH
133V00000X
Registered Dietitian
59.003166
CT
133V00000X
Registered Dietitian
86105106
TX
133V00000X
Registered Dietitian
DIET.DI.70103414
WA
133V00000X
Registered Dietitian
Primary
DT86653
TX

Other

Enumeration date
10/28/2020
Last updated
06/30/2026
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