| Doctor Name: | MS. LINDA L. GIBSON |
| NPI Number: | 1053678037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CNS |
| License Number: | 0239976 |
| Business Practice Address: | 10535 Hospital Way Mather, CA - 956554200 |
| Business Phone Number: | 9168691555 |
| Business Fax Number: | |
| Mailing Address: | 10535 Hospital Way, MATHER |
| State: | CA |
| Postal Code: | 956554200 |
| Phone Number: | 9168691555 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2012 |
| NPI Last Update Date: | 04/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 0239976 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |