Jennipher Lynn Gibbons

Custodial Care Facility · Edmore, MI

Individual Active NPI

NPI number 1609595024

Practice location

1850 W Michigan Ave
Edmore, MI 48829-9376
Phone
(989) 560-1301

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NPI record

NPI
1609595024
Entity type
Individual (Type 1)
Enumeration date
August 29, 2022
Last updated
August 29, 2022
Certified
August 12, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Custodial Care Facility Primary 311Z00000X AF590409770 MI

About Jennipher Gibbons

Jennipher Lynn Gibbons is a healthcare provider registered in the NPI registry with the primary taxonomy Custodial Care Facility (code 311Z00000X). The practice location is 1850 W Michigan Ave, Edmore, MI 48829-9376. The NPI number 1609595024 was assigned on August 29, 2022 and the record was last updated on August 29, 2022.

Jennipher Gibbons lists a license in the registry: #AF590409770 (MI) for Custodial Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennipher Lynn Gibbons?

The NPI number is 1609595024.

What is the phone number of Jennipher Gibbons?

The phone number listed for the practice location is (989) 560-1301.

Where is Jennipher Gibbons located?

1850 W Michigan Ave, Edmore, MI 48829-9376.

What is the taxonomy code for Jennipher Gibbons?

The primary taxonomy code is 311Z00000X – Custodial Care Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.