| Jenna Gibson, CNP | |
|
250 Debartolo Pl Ste B, Youngstown, OH 44512-7004 | |
| (234) 375-0659 | |
| (330) 758-3282 |
| Full Name | Jenna Gibson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 250 Debartolo Pl Ste B, Youngstown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710748439 | NPI | - | NPPES |
| 0040434 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0035643 (Ohio) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699747303 PECOS PAC ID: 2961425608 Enrollment ID: O20060109001066 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Gibson, CNP 100 Debartolo Pl Ste 200, Youngstown, OH 44512-6095 Ph: (330) 729-8146 | Jenna Gibson, CNP 250 Debartolo Pl Ste B, Youngstown, OH 44512-7004 Ph: (234) 375-0659 |
Teresa E. Mellington, ACNP-BC, AOCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Avenue, Mercy Health Oncology, Youngstown, OH 44501 Phone: 330-480-8015 Fax: 330-480-4398 | |
Mrs. Kelly Ann Labra, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 935 Trailwood Dr Ste A, Youngstown, OH 44512 Phone: 330-953-3204 Fax: 330-953-3206 | |
Charmi Patel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 Parmalee Ave Ste 610, Youngstown, OH 44510 Phone: 330-744-4369 Fax: 330-744-1728 | |
Kristie Elizabeth Miller, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 452 Broadway Ave, Youngstown, OH 44504 Phone: 330-480-2866 Fax: 330-480-4084 | |
Audra French, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2240 Hubbard Rd, Youngstown, OH 44505 Phone: 330-746-3777 | |
Mrs. Natasha Marie Lujan, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 822 E Western Reserve Rd # 1, Youngstown, OH 44514 Phone: 330-953-3414 Fax: 330-926-5855 | |
Jason Sindledecker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 Boardman Canfield Rd, Youngstown, OH 44512 Phone: 330-629-2888 Fax: 330-629-2946 |