Jill R Gibson is a Pediatrics in Grand Rapids, Michigan. Jill R Gibson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jill R Gibson is 1073553376. The last update date is 2013-01-28.
Jill R Gibson's current location address is 35 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162672100 and fax number 6162672101. The mailing address for Jill R Gibson is 35 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill R Gibson |
|---|---|
| Address | 35 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6162672100 |
| Fax Number | 6162672101 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1073553376 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2013-01-28 |
Provider Mailing Address Detail
| Address | 35 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032514 |
| Phone Number | 6162672100 |
| Fax Number | 6162672101 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704165794 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4631797 | MI | -- | |
| 500870355 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jill R Gibson by the Centers for Medicare & Medicaid Services?
The Jill R Gibson has been assigned the NPI (National Provider Identifier) 1073553376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jill R Gibson is geographically located?
The Jill R Gibson is physically situated at the following location: 35 Michigan St Ne, Grand Rapids, MI, 495032514.
What is Jill R 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 Jill R Gibson is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073553376 to Jill R Gibson?
The Jill R Gibson received its 1073553376 assignment from the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the Jill R Gibson's details last updated?
The information pertaining to the Jill R Gibson, including its address, specialty, and other details, was most recently updated on 2013-01-28.
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