Individual
MS. DUNIA THELMA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 PROSPECT ST, HACKENSACK, NJ 07601-6081
(551) 996-5430
(551) 996-5729
Mailing address
6010 BAY PKWY STE 901, BROOKLYN, NY 11204-6081
(718) 238-2100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00903200
NJ
363LF0000X
Family Nurse Practitioner
Primary
342462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342462
FAMILY NURSE PRACTITIONER
NY
05
—
342462
—
NY
Enumeration date
01/12/2018
Last updated
10/18/2019
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