Individual
JENNIFER MAUREEN GIBSON
Active
Individual
JENNIFER MAUREEN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
68316
WV
363LF0000X
Family Nurse Practitioner
Primary
NP13208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057626
—
OH
05
—
3810021896
—
WV
05
—
7100184340
—
KY
Enumeration date
11/04/2011
Last updated
01/29/2018
Update your record
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