Individual
JASON C GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-7064
(304) 744-7064
Mailing address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-7064
(304) 744-7064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52450
WV
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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