Individual
JILL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 HIGHLAND PARK PLZ B2, COVINGTON, LA 70433-7116
(985) 898-5990
(985) 590-3719
Mailing address
106 HIGHLAND PARK PLZ B2, COVINGTON, LA 70433-7116
(985) 898-5990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.205760
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057576
—
LA
Enumeration date
05/15/2008
Last updated
07/24/2023
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