Individual provider · Type 1 NPI

Jack Gibbons

Student in an Organized Health Care Education/Training Program · Grand Forks, ND

NPI number 1487456307 Active

Practice location

1301 N Columbia Rd
Grand Forks, ND 58202-6098

Call (701) 777-2514 Map

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 1487456307

Jack Gibbons's National Provider Identifier is 1487456307, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Forks, ND. The record was last updated on Mar 24, 2025.