Michelle Jenise Gibson, CPNP-AC, NNP-BC
Nurse Practitioner, Neonatal, Critical Care in Austin, TX. Individual provider (NPI-1).
NPI number1164065983
StatusActive
Last updated in NPPESDec 29, 2022
Details
- NPI
- 1164065983
- Entity type
- Individual (NPI-1)
- Name
- Michelle Jenise Gibson
- Credential
- CPNP-AC, NNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2019
- Certification date
- Dec 29, 2022
- Last updated
- Dec 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | AP143745 | TX | Yes |
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | AP143745 | TX |
Practice location
4900 Mueller BlvdAustin, TX 78723-3079
Phone 512-324-0173
Mailing address
20502 Tractor Dr Unit APflugerville, TX 78660-7127
Phone 512-736-2430
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Other Critical Care Neonatal Nurse Practitioner providers in Austin, TX
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All 11 Critical Care Neonatal Nurse Practitioner providers in Austin · All 34,666 providers in Austin
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