Gibson, Jessica Elizabeth

Gibson, Jessica Elizabeth is an sole proprietor health care provider with primary practice located at 1600 Riverfront Dr , Little Rock AR 72202. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gibson, Jessica Elizabeth can be contacted via phone (501) 663-6965.

Contact Information

Primary practice address
1600 Riverfront Dr Little Rock AR 72202
Phone: (501) 663-6965
Fax: (501) 603-0675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#2586 Arkansas

Profile Details

NPI number 1417122649
LBN Legal business name Gibson, Jessica Elizabeth
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Sep 25th, 2008 - about 16 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 1417122649 NPPES
Arkansas Other 113694335 TRICARE
Arkansas MEDICAID 168616721 TRICARE

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