Provider Demographics
NPI:1548629892
Name:GIBSON, JAIME MARIE (NP-C)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:MARIE
Last Name:GIBSON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:MARIE
Other - Last Name:SCHWARZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44230-1444
Mailing Address - Country:US
Mailing Address - Phone:330-606-5842
Mailing Address - Fax:
Practice Address - Street 1:204 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:OH
Practice Address - Zip Code:44230-1444
Practice Address - Country:US
Practice Address - Phone:330-606-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.18796-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily