Jennifer Michelle Gibbons

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

629471 Issued in TX

Practice address

2621 Holbrook Springs LN
League City, TX 77573-8902

Phone

(832) 754-8888

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1275175754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 HOLBROOK SPRINGS LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775738902",
            "telephone_number": "832-754-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 HOLBROOK SPRINGS LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775738902",
            "telephone_number": "832-754-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "629471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dileep George
• Dipu George, PHARMD
• Jessey George, FNP
• Elena Grantcharova Geppert, MD
• Maylin Faith Gerardo-Lopez, FNP
• Olga A Gil-Torrellas, DMD, MSD
• Mary Jane Giles, LCDC
• Shivjit Singh Gill, M.D.
• Teresa Carol Glaze
• Gob Behavioral Health PLLC

• Registered Nurse in League City, TX
• Providers in League City, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.