Individual
JESSICA TAYLER GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH/RDN/LD
Contact information
Practice address
5016 US HWY 75, DENISON, TX 75020-4584
(903) 416-2111
Mailing address
5016 US HWY 75, DENISON, TX 75020-4584
(903) 416-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86400
TX
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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