Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIPHER LYNN GIBBONS
Active Sole ProprietorJENNIPHER LYNN GIBBONS is a Custodial Care Facility healthcare provider located in EDMORE, Michigan. NPI 1609595024 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · EDMORE, MI
Registration Details
- NPI Number
- 1609595024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2022 (3.9571454294524 yrs)
- Last Updated
- Aug 29, 2022
- License
-
AF590409770 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1850 W MICHIGAN AVEEDMORE, MI, 488299376Browse MI providers · Browse ZIP 48829
- Phone
- 9895601301
- Primary Specialty
-
Custodial Care Facility
311Z00000X
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.