National Provider Identifier
Justine Anne Gibbs, RN
Justine Anne Gibbs, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Ithaca, NY and a listed phone number of (607) 882-9542.
Profile Overview
- NPI
- 1225633068
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 01, 2020
- Last Updated
- December 01, 2020
Practice Location
- 400 Lake Street
- Ithaca, NY 14850
Phone: (607) 882-9542
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1225633068
- Entity Type
- Individual
- Last Name
- Gibbs
- First Name
- Justine
- Middle Name
- Anne
- Name Prefix
- MS.
- Credential
- RN
- Provider Other Last Name
- Hoagland
- Provider Other First Name
- Justine
- Provider Other Middle Name
- Anne
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 400 Lake Street
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 882-9542
- Mailing Fax
- (607) 274-6822
- Practice Street Address
- 400 Lake Street
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 882-9542
- Practice Fax
- (607) 274-6822
- Enumeration Date
- December 01, 2020
- Last Updated
- December 01, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)