Individual
JENNA RAE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 W CAUSEWAY APPROACH STE B, MANDEVILLE, LA 70471-3022
(985) 892-3360
(985) 892-3375
Mailing address
1510 W CAUSEWAY APPROACH STE B, MANDEVILLE, LA 70471-3022
(985) 892-3360
(985) 892-3375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
230156
LA
Other
Enumeration date
07/06/2023
Last updated
03/12/2026
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