Individual provider · Type 1 NPI
Anita Jo Gibson, RN
Pediatric Registered Nurse · Longview, TX
NPI number
1689155749
Active
Practice location
2755 Quail Ln
Longview, TX 75602-7469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 822864 (TX) |
Pediatric Registered Nurse: Definition to come...
Other pediatric registered nurse providers in Longview
About NPI 1689155749
Anita Jo Gibson, RN's National Provider Identifier is 1689155749, issued on Aug 27, 2018. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Longview, TX. The record was last updated on Aug 27, 2018.