JONELLE RIVAS GIBSON ARNP PA


Address: 250 S Federal Hwy Ste 101, Dania Beach, FL 33004-4005
Phone: 9549009804

JONELLE RIVAS GIBSON ARNP PA (NPI# 1871912071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871912071
Entity Type Organization
Organization Name JONELLE RIVAS GIBSON ARNP PA
Practice Address 250 S Federal Hwy Ste 101
Dania Beach
FL 33004-4005
Practice Telephone 9549009804
Enumeration Date 2014-04-15
Last Update Date 2014-04-15
Authorized Official Name JONELLE RIVAS GIBSON (OWNER)
Authorized Official Telephone 9549009804
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9266389 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 007269700 05

Office Location

Street Address 250 S FEDERAL HWY STE 101
City DANIA BEACH
State FL
Zip Code 33004-4005

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588959118 Ani Stephen Nurse Practitioner 545 Se 12th St, Apt#104, Dania Beach, FL 33004-4665 2011-06-11
1164749800 Lijia James Nurse Practitioner 321 E Sheridan St, Apt No 307, Dania Beach, FL 33004-5571 2010-04-20
1447681093 Debbie Diamond Nurse Practitioner 599 S Federal Hwy, Dania Beach, FL 33004-4174 2013-12-09
1982844791 Claudette Graham Nurse Practitioner 140a S Federal Hwy, Dania Beach, FL 33004-3623 2009-03-06

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Competitor

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City DANIA BEACH
Zip Code 33004

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Dataset Information

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.

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