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Contact Information

JACQUELINE B GIBBONS, PA
ONE PAGE ROAD
PINEHURST, NC28374
 Phone: 910-295-6868
 Fax: 910-295-1514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JACQUELINE B GIBBONS · (Female)

NPI Number 1760551568
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/07/2006
Last updated 07/26/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-01257
  • NC License # 8092
  • SC License # 772
Hospital affiliation(s)
  • FIRSTHEALTH MOORE REGIONAL HOSPITAL - (Acute Care)
    155 MEMORIAL DRIVE
    PINEHURST, NC 28374
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.

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