Individual
JANET GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 RICHMOND RD, WILLIAMSBURG, VA 23185-2724
(757) 229-0015
Mailing address
8304 BARONS CT, WILLIAMSBURG, VA 23188-6378
(757) 634-6240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00170000879
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010112397
—
VA
05
—
10112397
—
VA
01
—
P00220177
RAILROAD MCR
—
Enumeration date
01/18/2006
Last updated
06/18/2014
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