Individual provider · Type 1 NPI

Jonathan Curtis Gibson, AGNP-C

Nurse Practitioner · Grand Rapids, MI

NPI number 1245686161 Active

Practice location

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

Call (616) 267-7414 Map

Mailing address

50 Industrial Park Rd
Bangor, MI 49013-1246

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704232359 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245686161

Jonathan Curtis Gibson, AGNP-C's National Provider Identifier is 1245686161, issued on May 10, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 2, 2025.