NPI Profile for JEANNE M GIBIAN in PRESCOTT, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI Number | 1700956703 |
|
| Status | Active | |
| Credentials | RN, CPNP | |
| Entity | Individual | |
| Enumeration date | 11/08/2006 | |
| Last updated | 02/17/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEANNE M GIBIAN
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