NPI 1013213057
Jessica Ann Gibson, MSNCNMARNP
Practice location
- Address
- 4100 S Ferdon Blvd Suite A4, Crestview, FL 32536-5252
- Phone
- (850) 398-8940
- Mailing address
- 2406 Roberts Dr, Niceville, FL 32578-2358
Registered specialties
Advanced Practice Midwife
Primary
Registry record
- NPI
- 1013213057
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Feb 2011
- Record last updated
- 6 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.