Individual
JENNIFER NICHOLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
LIBERTY HOSPITAL 2525 GLEN HENDREN DR, LIBERTY, MO 64068
(816) 781-7200
Mailing address
3008 S COCHISE DR, INDEPENDENCE, MO 64057-1629
18165106327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017026635
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
07/21/2017
Last updated
07/27/2017
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