Individual provider · Type 1 NPI

Jasmine Gibson, MD, MSC

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1114720174 Active

Practice location

680 Centre St
Brockton, MA 02302-3308

Call (508) 941-7000 Map

Mailing address

222 Richmond St
Providence, RI 02903-4228

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114720174

Jasmine Gibson, MD, MSC's National Provider Identifier is 1114720174, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Mar 27, 2025.