Individual provider · Type 1 NPI

Michelle Jenise Gibson, CPNP-AC, NNP-BC

Critical Care Neonatal Nurse Practitioner · Austin, TX

NPI number 1164065983 Active

Practice location

4900 Mueller Blvd
Austin, TX 78723-3079

Mailing address

20502 Tractor Dr Unit A
Pflugerville, TX 78660-7127

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222XAP143745 (TX)
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XAP143745 (TX)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1164065983

Michelle Jenise Gibson, CPNP-AC, NNP-BC's National Provider Identifier is 1164065983, issued on Oct 24, 2019. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Austin, TX. The record was last updated on Dec 29, 2022.