Individual
DR. JESSIE SELLERS GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSN, AGPCNP-BC
Contact information
Practice address
1215 LEE STREET, PO BOX 800659, CHARLOTTESVILLE, VA 22908
(434) 924-2706
Mailing address
1215 LEE ST, PO BOX 800659, CHARLOTTESVILLE, VA 22908
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024180937
VA
Other
Enumeration date
11/14/2016
Last updated
07/11/2024
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