DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE J GIBSON, M.D.

Active Sole Proprietor

DR. MICHELLE J GIBSON, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in JACKSON, Mississippi. NPI 1659366854 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · JACKSON, MS

Registration Details

NPI Number
1659366854
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2005 (20.946603569012 yrs)
Last Updated
Aug 12, 2011
License
15752 (MS)
Sole Proprietor
Yes

Practice Information

Address
5440 WATKINS DR
SUITE B
JACKSON, MS, 392062034
Browse MS providers · Browse ZIP 39206
Phone
6013642726
Fax
6013642731
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in JACKSON, MS

Name Credential NPI
SADHANA KALPANA DHARMAPURI MD 1487836060
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.