Individual
JODI L GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3555 OLENTANGY RIVER RD, SUITE 2020, COLUMBUS, OH 43214-3912
(614) 566-2280
(614) 533-0124
Mailing address
5450 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4134
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.001732
OHIO PA LICENSE
OH
Enumeration date
09/13/2006
Last updated
01/25/2022
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