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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKSON THOMAS GIBSON
NPI 1942127204
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Active since June 29, 2026
19555 N 59TH AVE, GLENDALE, AZ 85308(623) 572-3200 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Thomas Gibson NPPES

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

JACKSON THOMAS GIBSON (NPI 1942127204) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1942127204
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON THOMAS GIBSON
Location Address19555 N 59TH AVEGlendale, AZ 85308-6813
Mailing Address19555 N 59th AveGlendale, AZ 85308-6813 · (623) 572-3200
Phone(623) 572-3200
Sole ProprietorYes
Enumeration DateJune 29, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1942127204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19555 N 59TH AVE, Glendale, AZ 85308
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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.

ANDREW WOOD
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (310) 883-8926
ANDREA BLOCK PA-C
Physician Assistant
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
ALIYA IMAN HABIB
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
HUY VUONG DO
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
SYED G MOHIUDDIN PA-C
Physician Assistant
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
VERONICA LYNNE BUSH
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
CHRISTOPHER LEIGH FULLMER
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (653) 572-3200
ALEXIS CATURAN
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200

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 Jackson Gibson's NPI number?

The NPI number for Jackson Gibson is 1942127204. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Jackson Gibson located?

Jackson Gibson practices at 19555 N 59th Ave, Glendale, AZ 85308. The listed phone number is (623) 572-3200.

What is Jackson Gibson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Gibson was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.