Jessie Ann Gibson, RD, LD
Dietitian, Registered in Albany, OR. Individual provider (NPI-1).
NPI number1497355481
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1497355481
- Entity type
- Individual (NPI-1)
- Name
- Jessie Ann Gibson
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 10258537 | OR | Yes |
| 133V00000X | Dietitian, Registered | DIET.DI.70103414 | WA | |
| 133V00000X | Dietitian, Registered | 86105106 | TX | |
| 133V00000X | Dietitian, Registered | 59.003166 | CT | |
| 133V00000X | Dietitian, Registered | 11340 | OH |
Practice location
6224 Weldon Ct SwAlbany, OR 97321-3759
Phone 740-294-7810
Mailing address
6224 Weldon Ct SwAlbany, OR 97321-3759
Phone 740-294-7810
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