Individual
JONATHAN CURTIS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 267-7414
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704232359
MI
Other
Enumeration date
05/10/2016
Last updated
10/02/2025
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