JEANANNE M GIBEAULT N.P. NPI 1821062241

NPI Information

Jeananne M Gibeault, N.P. is a family nurse practitioner in Syracuse, NY with 26 years of experience. Jeananne M Gibeault, N.P. NPI is 1821062241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

739 IRVING AVE
SUITE 400
SYRACUSE, NY
ZIP 13210-640
Phone: (315) 234-6677
Fax: (315) 234-4808

The NPI 1821062241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 2/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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