Gibson, Jessica Leigh

Gibson, Jessica Leigh is an individual health care provider with primary practice located at 2704 N Center St , Maryville IL 62062-5624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gibson, Jessica Leigh can be contacted via phone (270) 556-8641.

Contact Information

Primary practice address
2704 N Center St Maryville IL 62062-5624
Phone: (270) 556-8641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004962 Illinois

Profile Details

NPI number 1164844387
LBN Legal business name Gibson, Jessica Leigh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Jan 7th, 2014 - about 10 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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