| Doctor Name: | DONNA GIBSON |
| NPI Number: | 1013054287 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APNC |
| License Number: | TPOOO644B |
| Business Practice Address: | 711 N Main St Glassboro, NJ - 080281639 |
| Business Phone Number: | 8887941235 |
| Business Fax Number: | |
| Mailing Address: | 4700 Wissahickon Ave, Ste 118 Bldg D PHILADELPHIA |
| State: | PA |
| Postal Code: | 191444248 |
| Phone Number: | 2675973654 |
| Fax Number: | 2675973622 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 10/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TPOOO644B |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |