Gibson, Jazmyn

Gibson, Jazmyn is an individual health care provider with primary practice located at 39 3Rd Ave Nw , Killdeer ND 58640. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Gibson, Jazmyn can be contacted via phone (701) 590-8875.

Contact Information

Primary practice address
39 3Rd Ave Nw Killdeer ND 58640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 1478813 North Dakota

Profile Details

NPI number 1780272914
LBN Legal business name Gibson, Jazmyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2021
Last updated Jan 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780272914 NPPES
North Dakota MEDICAID 1478813

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