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

JESSICA GIBSON, PA-C

Active

JESSICA GIBSON, PA-C is a Surgical Physician Assistant healthcare provider located in EAST PATCHOGUE, New York. NPI 1871186445 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · EAST PATCHOGUE, NY

Registration Details

NPI Number
1871186445
Provider Type
Individual
Gender
Female
NPI Issued
Feb 15, 2021 (5.5178422577654 yrs)
Last Updated
Nov 16, 2021
Licenses
027549 (NY)
027549 (NY)

Practice Information

Address
285 SILLS RD BLDG 18
EAST PATCHOGUE, NY, 117724808
Browse NY providers · Browse ZIP 11772
Phone
6314751224
Fax
6314751588
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Physician Assistant

Other Surgical Physician Assistant Providers in EAST PATCHOGUE, NY

Name Credential NPI
RODNEY E DAVIS RPA-C 1699789446
JOHN JOSEPH DALTON PA-C 1407295025
MR. PETER JOSEPH SICARDI JR. 1720612880
CASEY MCCORMACK PA-C 1558168237
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.