Individual
MR. JONATHAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3901 S 7TH ST, TERRE HAUTE, IN 47802-5709
(812) 865-9738
Mailing address
305 E 23RD ST, HOPKINSVILLE, KY 42240-3705
(270) 839-4105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28219802A
IN
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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