Individual
JEANNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 E 81ST ST, BROOKLYN, NY 11236-4740
(917) 346-4156
Mailing address
1117 E 81ST ST, BROOKLYN, NY 11236-4740
(917) 346-4156
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F310926-01
NY
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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