MISS JILLIAN BETH GIBSON (NPI# 1609141787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609141787 |
| Entity Type | Individual |
| Full Name | MISS JILLIAN BETH GIBSON |
| Credential | CPNP, APRN |
| Practice Address |
3845 S 103rd East Ave Tulsa OK 74146-2452 |
| Mailing Address |
1515 W Vicksburg Pl Broken Arrow OK 74011-3978 |
| Practice Telephone | 9187450800 |
| Mailing Telephone | 9186941382 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
89462 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992080980 | Jillian Rae Gibson | Social Worker | 245 E. Centennial Parkway, Apt. 2120, North Las Vegas, NV 89084 | 2011-10-21 |
| 1861564551 | Jillian Ann Gibson | Physician Assistant | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2006-11-15 |
| Street Address |
3845 S 103RD EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74146-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1144768821 | Rebekah J Labouff | Nurse Practitioner | 6465 S Yale Ave Ste 320, Tulsa, OK 74136-7805 | 2017-02-02 |
| 1740660349 | Sarah Wulfers | Nurse Practitioner | 3606 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6459 | 2015-06-09 |
| 1043642580 | Carrie B. Mccracken | Nurse Practitioner | 8803 S. 101st East Avenue, Suite 200, Tulsa, OK 74133 | 2013-08-07 |
| 1306102272 | Elizabeth Nicole Thiel | Nurse Practitioner | 7711 E. 111th St, Suite 111, Tulsa, OK 74133 | 2012-04-05 |
| 1003095183 | Jennifer Christa Pimentel | Nurse Practitioner | 6565 S Yale Ave Ste 209, Tulsa, OK 74136-8303 | 2007-10-25 |
| 1538350178 | Jessica Lynn Spear | Nurse Practitioner | 2325 S Havard, Tulsa, OK 74114-3300 | 2007-08-08 |
| 1245250430 | Christy L Stewart | Nurse Practitioner | 2227 S Garnett Rd, Suite 101, Tulsa, OK 74129-5119 | 2006-07-20 |
| 1912937954 | Candace Smith Joiner | Nurse Practitioner | 7412 S Yale Ave., Tulsa, OK 74136 | 2006-07-04 |
| 1346874799 | Angela Conrad | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2020-02-25 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on MISS JILLIAN BETH GIBSON.
| 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.