# DR. JANICE LYNN GIBSON-NEALE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659489474
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101040790 | VA | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 02/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006296513 | — | VA |
| 01 | — | 044783 | ANTHEM BC/BS ID\# | VA |
| 01 | — | 160024059Q | RAILROAD MEDICARE ID\# | VA |
| 01 | — | 40188 | VIRGINIA PREMIER ID\# | VA |
| 01 | — | 48288 | OPTIMA SENTARA ID \# | VA |
| 01 | — | 537948 | AETNA PROVIDER \# | VA |
| 01 | — | 541467765 | TAX ID \# | VA |