Individual
MRS. JEANENE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9945 COVENTRY COURT, MASON, OH 45040
(513) 307-5683
Mailing address
9945 COVENTRY COURT, MASON, OH 45040
(513) 307-5683
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN342875
OH
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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