NPI | 1154413243 |
---|---|
Other Name | JEWYL C GIBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 7971) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 7971) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2025-08-26 |