Individual provider · Type 1 NPI
Jill R. Gibson, NP
Pediatric Nurse Practitioner · Grand Rapids, MI
NPI number
1073553376
Active
Practice location
35 Michigan St NE, Suite 4150
Grand Rapids, MI 49503-2514
Fax (616) 267-2101
Mailing address
15448 Howard St
Spring Lake, MI 49456-1526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704165794 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Grand Rapids
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- Kathleen Buller, NPPediatric Nurse Practitioner Grand Rapids, MI NPI 1083623128
- Andrea Galaviz Demonbrun, NPPediatric Nurse Practitioner Grand Rapids, MI NPI 1083986665
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- Matthew Raymond Grit, APRN-NPPediatric Nurse Practitioner Grand Rapids, MI NPI 1104534676
About NPI 1073553376
Jill R. Gibson, NP's National Provider Identifier is 1073553376, issued on Jun 7, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 28, 2013.