Individual provider · Type 1 NPI
Misti Dawn Gibson, CNP
Family Nurse Practitioner · San Jon, NM
NPI number
1912854563
Active
Practice location
1200 E Elm Ave
San Jon, NM 88434-9724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 88590 (NM) |
Family Nurse Practitioner: Definition to come...
About NPI 1912854563
Misti Dawn Gibson, CNP's National Provider Identifier is 1912854563, issued on Mar 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jon, NM. The record was last updated on Mar 12, 2026.