| NPI | 1275223547 |
|---|---|
| Former Name | CHANDLER JESSICA GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704329519) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2025-09-29 |