Individual
JESSICA DANIELLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7565 DANNAHER DR, POWELL, TN 37849-4029
(865) 859-8000
Mailing address
428 AARON DAVIS RD, SPEEDWELL, TN 37870-7405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4714
TN
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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