JENNIFER NICHOLE GIBSON (NPI# 1063935062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063935062 |
| Entity Type | Individual |
| Full Name | JENNIFER NICHOLE GIBSON |
| Credential | FNP |
| Practice Address |
Liberty Hospital 2525 Glen Hendren Dr Liberty MO 64068 |
| Mailing Address |
3008 S Cochise Dr Independence MO 64057-1629 |
| Practice Telephone | 8167817200 |
| Mailing Telephone | 18165106327 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017026635 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MO | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063973006 | Jennifer Gibson | Technician | 7431 Gailey Ln, Houston, TX 77040-3417 | 2019-03-30 |
| 1053729913 | Jennifer Jennings Gibson | Nurse Practitioner | 2524 S Philippe Ave, Gonzales, LA 70737-3749 | 2014-07-23 |
| 1194002162 | Jennifer Maureen Gibson | Nurse Practitioner | 1408 Campbell Dr Ste 200, Ironton, OH 45638-2301 | 2011-11-04 |
| 1619295235 | Jennifer Williams Gibson | Pharmacist | 2306 Chesnee Hwy Ste 1, Spartanburg, SC 29303-5507 | 2010-05-06 |
| 1114159001 | Jennifer Gibson | Counselor | 1743 1st Ave, 4b, New York, NY 10128-5900 | 2009-08-11 |
| 1144415118 | Jennifer Lynn Gibson | Speech-Language Pathologist | 4808 Lafite Ln, Colleyville, TX 76034-1247 | 2007-09-12 |
| 1164544839 | Jennifer L Gibson | Psychologist | 2650 W Montrose Ave, Suite 200, Chicago, IL 60618-1560 | 2007-04-04 |
| 1265579445 | Jennifer Gibson | Massage Therapist | 6211 26th Ave Nw # A, Seattle, WA 98107-2401 | 2007-01-30 |
| 1144299900 | Jennifer M. Gibson | Internal Medicine | 3449 N Anchor St Ste 300a, Portland, OR 97217-7679 | 2006-03-15 |
| 1447883152 | Jennifer Anne Gibson | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-02-20 |
| Street Address |
LIBERTY HOSPITAL 2525 GLEN HENDREN DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| 1669715942 | Roni Townsend | Social Worker | 112 Westwoods Drive, Liberty, MO 64068 | 2013-04-04 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653306 | Ashley Pence Wilson | Nurse Practitioner | 1105 Jackson Ct, Liberty, MO 64068-3372 | 2020-06-14 |
| 1417503186 | Susan Mwirigi Gunn | Nurse Practitioner | 1021 Bob White Ln, Liberty, MO 64068-7427 | 2019-08-17 |
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1700221413 | Sukhdeep Johal | Nurse Practitioner | 1901 W Kansas St # Mo001, Liberty, MO 64068-2060 | 2013-05-08 |
| 1215272166 | Ruth Teague | Nurse Practitioner | 2718 N Main St, Liberty, TX 77575-3909 | 2012-12-04 |
| 1376805499 | Caroline E Baugess | Nurse Practitioner | 504 N Greensboro St, Liberty, NC 27298-2601 | 2012-06-14 |
| 1326308636 | Tracy Mathews Allen | Nurse Practitioner | 1343 County Road 2005, Liberty, TX 77575-8709 | 2012-05-21 |
| 1770721003 | Cheryl Jean Wells | Nurse Practitioner | 129 S Fayetteville St, Liberty, NC 27298-3200 | 2009-01-23 |
| 1730373309 | M Therese Sellers | Nurse Practitioner | 109 N Blue Jay Dr, Liberty, MO 64068-1906 | 2007-08-28 |
| 1891876900 | Paula M Brown | Nurse Practitioner | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2006-10-17 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.