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Jessica Gibson, PA-C
NPI 1164844387 · on the registry since 2014
Practice
- Address
- 2704 N Center St
Maryville, IL 62062 - Phone
- (270) 556-8641
- Organisation at this address
- Laura Bird, Md, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois