Individual provider · NPI-1

Samantha Gibson, FNP-BC, APRN

Family Medicine · Palmer, AK

NPI number1649142001
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1649142001
Entity type
Individual (NPI-1)
Name
Samantha Gibson
Credential
FNP-BC, APRN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2025
Certification date
Oct 9, 2026
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine245048AKYes

Practice location

1901 N Hemmer Rd Ste 208
Palmer, AK 99645-9673

Phone 907-203-4677 · Fax 800-516-0397

Mailing address

1901 N Hemmer Rd Ste 208
Palmer, AK 99645-9673

Phone 907-203-4677 · Fax 800-516-0397

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Palmer, AK