Individual
JENNIFER ANN GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-5950
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209008287
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
4704316878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010007220
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
08/11/2010
Last updated
11/22/2019
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