Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY J GIBSON, PA-C
ActiveSTACEY J GIBSON, PA-C is a Physician Assistant healthcare provider located in SPRING GROVE, Pennsylvania. NPI 1376820340 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SPRING GROVE, PA
Registration Details
- NPI Number
- 1376820340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2011 (14.593953495918 yrs)
- Last Updated
- Jan 2, 2021
- License
-
MA055299 (PA)
Practice Information
- Address
-
2030 THISTLE HILL DR STE 100SPRING GROVE, PA, 173621160Browse PA providers · Browse ZIP 17362
- Phone
- 7172259869
- Fax
- 7172256552
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SPRING GROVE, PA
| Name | Credential | NPI |
|---|---|---|
| NANCY I POLASHUK | PA-C | 1114449451 |
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.