Michelle J Gibson in Jackson - Adolescent Medicine
Michelle J Gibson - NPI 1659366854
Michelle J Gibson is a Adolescent Medicine in Jackson, Mississippi. Michelle J Gibson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Michelle J Gibson is 1659366854. The last update date is 2011-08-12.
Michelle J Gibson's current location address is 5440 Watkins Dr, Jackson, Mississippi. You can contact this provider via phone number 6013642726 and fax number 6013642731. The mailing address for Michelle J Gibson is 5440 Watkins Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle J Gibson |
|---|---|
| Address | 5440 Watkins Dr, Jackson, Mississippi |
| Phone Number | 6013642726 |
| Fax Number | 6013642731 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659366854 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2011-08-12 |
Provider Mailing Address Detail
| Address | 5440 Watkins Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392062034 |
| Phone Number | 6013642726 |
| Fax Number | 6013642731 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 15752 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119640 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle J Gibson by the Centers for Medicare & Medicaid Services (CMS)?
The Michelle J Gibson has been assigned the NPI (National Provider Identifier) 1659366854. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Michelle J Gibson's facilities are situated?
The facilities of Michelle J Gibson are physically located at the following address: 5440 Watkins Dr, Jackson, MS, 392062034.
What is Michelle J Gibson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michelle J Gibson is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Michelle J Gibson receive the assignment of its 1659366854 from the Centers for Medicare & Medicaid Services?
The Michelle J Gibson was issued its 1659366854 by the Centers for Medicare & Medicaid Services on 2005-09-13.
When was the information regarding Michelle J Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michelle J Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-12.