JESSICA GIBSON, PA-C
Physician Assistant
Active
Individual
NPI: 1164844387
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085.004962 (IL) |
Frequently Asked Questions
NPI 1164844387 is the National Provider Identifier for JESSICA GIBSON, PA-C, a Physician Assistant provider located in Maryville, IL. This NPI was enumerated on January 7, 2014.
JESSICA GIBSON, PA-C practices at 2704 N CENTER ST, Maryville, IL 62062.
Quick Facts
- NPI
- 1164844387
- Type
- Individual
- Enumerated
- Jan 7, 2014
- Last Updated
- Jan 7, 2014
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