Gibson, Jenna Rae

Gibson, Jenna Rae is an individual health care provider with primary practice located at 807 Shadow Oak Ln , Mandeville LA 70471-1249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gibson, Jenna Rae can be contacted via phone (504) 800-8313.

Contact Information

Primary practice address
807 Shadow Oak Ln Mandeville LA 70471-1249
Phone: (504) 800-8313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 230156 Louisiana

Profile Details

NPI number 1609554146
LBN Legal business name Gibson, Jenna Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2023
Last updated Aug 9th, 2023 - about 3 years 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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