Individual
JADIA M GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
(248) 436-4400
Mailing address
27777 INKSTER RD, FARMINGTON HILLS, MI 48334-5310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164W00000X
Licensed Practical Nurse
Primary
4703132033
MI
Other
Enumeration date
08/19/2022
Last updated
09/04/2025
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