Gibson, Jessica N

Gibson, Jessica N is an individual health care provider with primary practice located at 105 Windsor Path Ste 1 Georgetown, Georgetown KY 40324-9617. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gibson, Jessica N can be contacted via phone (502) 570-2337.

Contact Information

Primary practice address
105 Windsor Path Ste 1 Georgetown Georgetown KY 40324-9617
Phone: (502) 570-2337
Fax: (502) 570-2338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005483 Kentucky

Profile Details

NPI number 1124446364
LBN Legal business name Gibson, Jessica N
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2014
Last updated Sep 8th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124446364 NPPES
Kentucky Other 000000869196 ANTHEM
Kentucky MEDICAID 7100300660 ANTHEM

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