NPI 1073035895

Porirtia Jeanette Gibbons

Practitioner Case Manager/Care Coordinator Snow Hill, MD

Practice location

Address: 424 W Market St STE a, Snow Hill, MD 21863-1268
Phone: (410) 632-9230
Fax: (410) 632-9239
Mailing address: 6040 Public Landing Rd, Snow Hill, MD 21863-2453

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1073035895
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2017
Record last updated: 13 Jul 2017

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.