Gibbons, Jessica R

Gibbons, Jessica R is an individual health care provider with primary practice located at 1380 E Medical Center Dr , St George UT 84790-2123. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Gibbons, Jessica R can be contacted via phone (435) 251-1000.

Contact Information

Primary practice address
1380 E Medical Center Dr St George UT 84790-2123
Phone: (435) 251-1000
Fax: (435) 688-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 3723144901 Utah

Profile Details

NPI number 1952398307
LBN Legal business name Gibbons, Jessica R
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952398307 NPPES
Utah MEDICAID D3424
Utah MEDICAID 844515

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