Gibson, Michelle Jenise

Gibson, Michelle Jenise is an individual health care provider with primary practice located at 4900 Mueller Blvd , Austin TX 78723-3079. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Gibson, Michelle Jenise can be contacted via phone (512) 324-0173.

Contact Information

Primary practice address
4900 Mueller Blvd Austin TX 78723-3079
Phone: (512) 324-0173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X AP143745 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP143745 Texas

Profile Details

NPI number 1164065983
LBN Legal business name Gibson, Michelle Jenise
Credentials CPNP-AC, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2019
Last updated Dec 29th, 2022 - about 2 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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