Gibson, Jessica

Gibson, Jessica is an individual health care provider with primary practice located at 285 Sills Rd Bldg 18 , East Patchogue NY 11772-4808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Gibson, Jessica can be contacted via phone (631) 475-1224.

Contact Information

Primary practice address
285 Sills Rd Bldg 18 East Patchogue NY 11772-4808
Phone: (631) 475-1224
Fax: (631) 475-1588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 027549 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 027549 New York

Profile Details

NPI number 1871186445
LBN Legal business name Gibson, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2021
Last updated Nov 16th, 2021 - about 3 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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