Individual
JORDAN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
PO BOX 198, VERNER, WV 25650-0198
(304) 688-3005
Mailing address
PO BOX 198, VERNER, WV 25650-0198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122365
WV
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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