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Madena Jane Gibson

General Practice Physician

1695 Moses Rd
Raymond , Mississippi 39154-8766

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Madena Jane Gibson

General Practice Physician

1695 Moses Rd
Raymond , Mississippi 39154-8766

(601) 857-8638

Write a Review Save Call

Madena Jane Gibson

General Practice Physician

1695 Moses Rd
Raymond , Mississippi 39154-8766

(601) 857-8638 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • General Practice Physician

Languages spoken

  • English

Location

1695 Moses Rd Raymond , Mississippi 39154-8766

First Address

  • Madena Jane Gibson
  • 1695 Moses Rd
  • Raymond, MS
  • Zip : 39154-8766
  • Phone : (601) 857-8638

Second Address

  • Madena Jane Gibson
  • 1695 Moses Rd
  • Raymond, MS
  • Zip : 39154-8766
  • Phone : (601) 857-8638

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FAQs


Where did Madena Jane Gibson attend graduate school?

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Where did Madena Jane Gibson do her residency?

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Where did Madena Jane Gibson do her fellowship?

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Is Madena Jane Gibson board certified?

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What type of doctor is Madena Jane Gibson

General Practice Physician

In what state does Madena Jane Gibson practice in?

Mississippi

Where is Madena Jane Gibson ’s practice located?

1695 Moses Rd , Raymond, Mississippi, 39154-8766

What is Madena Jane Gibson ’s gender?

Female

Is Madena Jane Gibson a sole practitioner?

No

Is Madena Jane Gibson accepting new patients?

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What languages does Madena Jane Gibson speak?

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Does Madena Jane Gibson accept insurance?

Yes, Madena Jane Gibson accepts insurance

Does Madena Jane Gibson offers telemedicine?

Madena Jane Gibson has not indicated if she offers telemedicine

What is Madena Jane Gibson ’s professional license number?

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What is Madena Jane Gibson ’s NPI number?

1013431519

Does Madena Jane Gibson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208D00000X General Practice Physician 07981 MS

National Provider Identifier

NPI 1013431519
Provider Name Madena Jane Gibson
First Address Raymond, MS 39154-8766
Second Address Raymond, MS 39154-8766
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 27/07/2017
Last Update Date 27/07/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
07981 MS MEDICAL LICENSURE (01) MS

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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