MRS. JACQUELINE GAILLARD GIBSON (NPI# 1093721714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093721714 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE GAILLARD GIBSON |
| Credential | PA-C |
| Practice Address |
820 S Boylan Ave Raleigh NC 27603-2246 |
| Mailing Address |
216 Wild Holly Ln Holly Springs NC 27540-8654 |
| Practice Telephone | 9197330740 |
| Mailing Telephone | 9195576040 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103859 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497089361 | Jacqueline Gibson | Speech-Language Pathologist | 1904 Ormond Blvd Ste 201, Destrehan, LA 70047-3829 | 2009-09-25 |
| 1033128871 | Jacqueline S Gibson | Internal Medicine | 740 S Limestone, Lexington, KY 40536-0001 | 2006-08-07 |
| 1144216615 | Jacqueline M Gibson | Counselor | 3686 Us Highway 331 S, Defuniak Springs, FL 32435-8463 | 2005-09-21 |
| Street Address |
820 S BOYLAN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27603-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477870608 | Elizabeth F Lansing | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2010-04-28 |
| 1972745453 | George Timothy Dennard | Social Worker | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2009-03-31 |
| 1306085212 | Gordon Kyle Lavin | Psychiatry & Neurology | 820 S Boylan Ave, 2 East, Raleigh, NC 27603-2246 | 2009-02-17 |
| 1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
| 1760690705 | Tanya Rose Cheevers | Psychiatry & Neurology | 820 S Boylan Ave, Mcbryde Bldg., Raleigh, NC 27603-2246 | 2007-05-21 |
| 1740498286 | Judy Neal Bennett | Pharmacist | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-05-18 |
| 1124246111 | Nicole Francoise Wolfe | Psychiatry & Neurology | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-23 |
| 1316164254 | Dorothea Dix Hospital | General Acute Care Hospital | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-04-20 |
| 1861526113 | James Kraig Dixon | Social Worker | 820 S Boylan Ave, Raleigh, NC 27699-0001 | 2007-03-16 |
| 1265571277 | Dorothea Dix Hospital | Psychiatric Residential Treatment Facility | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854736 | Rdu Medical Transportation Group | Non-emergency Medical Transport (VAN) | 3751 Junction Blvd Suite C Raleigh Nc 27603, C, Raleigh, NC 27603 | 2020-06-01 |
| 1275997595 | Run Raleigh Pt, LLC | Physical Therapist | 401 N West Street, Suite 121, Raleigh, NC 27603 | 2016-04-12 |
| 1508256496 | Nneka Ifeoma Hay | Nurse Practitioner | 1390 Capital Boulevard, Raleigh, NC 27603 | 2015-01-29 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1578979548 | Grishma Ajmera | Pharmacist | 1531 Dormitory Rd, Raleigh, NC 27603 | 2014-07-10 |
| 1699036467 | Brian Ellison | Pharmacist | 401 Glenwood Ave # 101, Raleigh, NC 27603 | 2012-06-07 |
| 1255607610 | Brian Nichols | Specialist/Technologist | 605 Trunecek Circle, Raleigh, NC 27603 | 2012-03-29 |
| 1548532120 | Living With Autism Inc | Home Health | 7401 Denlee Rd, Raleigh, NC 27603 | 2012-01-30 |
| 1417238189 | Crystal Shawnette Yarborough | Counselor | 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 | 2011-09-07 |
| 1982906673 | Annie & Khamorah's Place | Home Health | 2917 Fairway Drive, Raleigh, NC 27603 | 2010-12-01 |
| Find all providers in zip 27603 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285195768 | Rebecca Lee Hill | Physician Assistant | 3100 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8002 | 2019-03-27 |
| 1306300520 | Lanlen Luke Venable | Physician Assistant | 4414 Lake Boone Trl Ste 502, Raleigh, NC 27607-7521 | 2019-01-23 |
| 1942723788 | Elizabeth Grace Carmen Lee Macarthur | Physician Assistant | 10211 Alm St Ste 1200, Raleigh, NC 27617-8221 | 2017-07-24 |
| 1164969168 | Grace Klinic, LLC | Physician Assistant | 6516 Falls of Neuse Rd, 110, Raleigh, NC 27615-6847 | 2017-01-27 |
| 1982075073 | David Zuckerman | Physician Assistant | 1311 E Millbrook Rd Ofc, Raleigh, NC 27609-5473 | 2015-10-14 |
| 1649570060 | Jeffrey M Rosowski | Physician Assistant | 3320 Executive Dr Ste 222, Raleigh, NC 27609-7445 | 2010-11-02 |
| 1023332020 | Brooke Register Lilley | Physician Assistant | 6500 Creedmoor Rd., Raleigh, NC 27613 | 2010-03-18 |
| 1548582620 | Melanie Fox Langston | Physician Assistant | 7870 Alexander Promenade Pl, Raleigh, NC 27617-7350 | 2010-02-17 |
| 1184863086 | Lisa Marie Hill | Physician Assistant | 2709 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6462 | 2009-02-17 |
| 1538248125 | Harry David Kurtz | Physician Assistant | 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 | 2006-11-03 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.