Individual
JANELLE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2010 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2163
(973) 275-9500
(973) 275-9501
Mailing address
2010 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2163
(973) 275-9500
(973) 275-9501
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00547800
NJ
Other
Enumeration date
01/20/2015
Last updated
05/29/2016
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