Individual
JENNIFER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NE-BC
Contact information
Practice address
706 CROCKETT CT, WINCHESTER, KY 40391-2953
(859) 556-1234
Mailing address
706 CROCKETT CT, WINCHESTER, KY 40391-2953
(859) 556-1234
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
1076290
KY
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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