Individual
JORDAN LANE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6600 MAN O WAR BLVD APT 5301, LEXINGTON, KY 40509-8766
(606) 312-6428
Mailing address
6600 MAN O WAR BLVD APT 5301, LEXINGTON, KY 40509-8766
(606) 312-6428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4057205
KY
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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