JILL R GIBSON NP
NPI 1073553376
Nurse Practitioner - Pediatrics in Grand Rapids, MI

Active since June 07, 2006
35 MICHIGAN ST NE, SUITE 4150, GRAND RAPIDS, MI 49503(616) 267-2100(616) 267-2101 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jill R Gibson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL R GIBSON NP (NPI 1073553376) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4704165794) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073553376
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJILL R GIBSONCredential: NP
Location Address35 MICHIGAN ST NE, SUITE 4150Grand Rapids, MI 49503-2514
Mailing Address15448 Howard StSpring Lake, MI 49456-1526
Fax(616) 267-2101
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJanuary 28, 2013
NPI 1073553376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704165794
35 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Identifiers 2

Other500870355MI · Bcbs Pin
Medicaid4631797MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
35 MICHIGAN ST NE, SUITE 3003
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
35 MICHIGAN ST NE, SUITE 5101
GRAND RAPIDS, MI 49503
Physician Assistant
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Pharmacist
35 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pathology (Anatomic Pathology & Clinical Pathology)
35 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Gastroenterology)
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Rheumatology)
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Endocrinology)
35 MICHIGAN ST NE, SUITE 1800
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Gibson's NPI number?

The NPI number for Jill Gibson is 1073553376. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jill Gibson located?

Jill Gibson practices at 35 Michigan St NE Suite 4150, Grand Rapids, MI 49503. The listed phone number is (616) 267-2100.

What is Jill Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jill Gibson was last updated on January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.