Individual
JENNA K GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
250 DEBARTOLO PL STE B, YOUNGSTOWN, OH 44512-7004
(234) 375-0659
(330) 758-3282
Mailing address
100 DEBARTOLO PL STE 200, YOUNGSTOWN, OH 44512-6095
(330) 729-8146
(330) 965-5229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0035643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040434
—
OH
Enumeration date
01/19/2024
Last updated
12/30/2025
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