Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADENA JANE GIBSON, MD
Active Sole ProprietorMADENA JANE GIBSON, MD is a General Practice healthcare provider located in RAYMOND, Mississippi. NPI 1013431519 is currently active in the NPPES registry. Verify at CMS.
General Practice · RAYMOND, MS
Registration Details
- NPI Number
- 1013431519
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2017 (9.0252687990598 yrs)
- Last Updated
- Jul 21, 2022
- License
-
07981 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1695 MOSES RDRAYMOND, MS, 391548766Browse MS providers · Browse ZIP 39154
- Phone
- 6018578638
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.