Individual
JANEEN M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2686
(423) 844-2688
Mailing address
165 DUFF LN, BRISTOL, VA 24201-3497
(276) 202-0436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14068
TN
Other
Enumeration date
04/08/2009
Last updated
08/25/2023
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