Whalio Doctors

NPI 1013213057

Jessica Ann Gibson, MSNCNMARNP

Practitioner Advanced Practice Midwife Crestview, FL

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
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence ARNP9278210 (FL)

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.