Individual
JENNIFER MICHELLE GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 HOLBROOK SPRINGS LN, LEAGUE CITY, TX 77573-8902
(832) 754-8888
Mailing address
2621 HOLBROOK SPRINGS LN, LEAGUE CITY, TX 77573-8902
(832) 754-8888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
629471
TX
Other
Enumeration date
10/16/2019
Last updated
01/10/2020
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