| Doctor Name: | JENNIFER JENNINGS GIBSON |
| NPI Number: | 1053729913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FNP-C |
| License Number: | AP07901 |
| Business Practice Address: | 2524 S Philippe Ave Gonzales, LA - 707373749 |
| Business Phone Number: | 2256441990 |
| Business Fax Number: | |
| Mailing Address: | 2524 S Philippe Ave, GONZALES |
| State: | LA |
| Postal Code: | 707373749 |
| Phone Number: | 2256441990 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2014 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP07901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |