Individual provider · Type 1 NPI
Jessica Michele Gibson
Critical Care Medicine Nurse Practitioner · Leesburg, VA
NPI number
1174176754
Active
Practice location
44055 Riverside Pkwy
Leesburg, VA 20176-5179
Mailing address
3300 Gallows Rd
Falls Church, VA 22042-3307
Other practice locations
- 3300 Gallows Rd, Falls Church, VA 22042-3307 · (703) 776-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 0024177919 (VA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1174176754
Jessica Michele Gibson's National Provider Identifier is 1174176754, issued on Jul 22, 2019. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Leesburg, VA. The record was last updated on Mar 12, 2024.