National Provider Identifier Database

MICHELLE J GIBSON, MD – NPI #1659366854
Adolescent Medicine

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.


Contact Information

MICHELLE J GIBSON, MD
5440 WATKINS DR
SUITE B
JACKSON, MS39206-2034
Phone: 601-364-2726
Fax: 601-364-2731
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for MICHELLE J GIBSON

NPI Number 1659366854
Credentials MD
Entity Individual
Enumeration date 09/13/2005
Last updated 08/12/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 15752
  • MS Medicaid: 00119640
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MICHELLE J GIBSON, MD

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