Individual
MRS. JESSICA ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, ARNP
Contact information
Practice address
4100 S FERDON BLVD, SUITE A4, CRESTVIEW, FL 32536-5252
(850) 398-8940
Mailing address
2406 ROBERTS DR, NICEVILLE, FL 32578-2358
(850) 390-1742
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP9278210
FL
Other
Enumeration date
02/09/2011
Last updated
06/06/2011
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