Individual
JENNIFER MAUREEN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1408 CAMPBELL DR STE 200, IRONTON, OH 45638-2301
(740) 534-9202
(740) 532-4777
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
(740) 532-4859
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
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