Rivas-Gibson, Jonelle Moricia

Rivas-Gibson, Jonelle Moricia is an individual health care provider with primary practice located at 1600 N State Road 7 Ste 200 , Lauderhill FL 33313-5853. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rivas-Gibson, Jonelle Moricia can be contacted via phone (954) 900-9804.

Contact Information

Primary practice address
1600 N State Road 7 Ste 200 Lauderhill FL 33313-5853
Phone: (954) 900-9804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9266389 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric 364SP0813X APRN9266389 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9266389 Florida

Profile Details

NPI number 1083966717
LBN Legal business name Rivas-Gibson, Jonelle Moricia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated Dec 21st, 2022 - about 4 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 1083966717 NPPES
Florida MEDICAID 007269700

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