Individual
JESSICA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 N H ST, BROKEN BOW, NE 68822-1262
(308) 872-2982
(308) 872-6349
Mailing address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-6821
(308) 872-6349
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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