Individual provider · Type 1 NPI

Jordan Nicole Gibson

Physician Assistant · Albuquerque, NM

NPI number 1346064698 Active

Practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA2025-0008 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1346064698

Jordan Nicole Gibson's National Provider Identifier is 1346064698, issued on Nov 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 4, 2025.