1. Home
  2. Directory
  3. Minnesota
  4. Sartell
  5. Specialist
  6. NPI Profile

JACEY GIBBONS
NPI 1962156554
Specialist in Sartell, MN

Active since February 11, 2022
1801 AMBER AVE S, SARTELL, MN 56377(320) 281-5306 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2024, Feb 11, 2022 (2 updates tracked since 2022).

About Jacey Gibbons NPPES

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

JACEY GIBBONS (NPI 1962156554) is an individual specialist in Sartell, Minnesota and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1962156554
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACEY GIBBONS
Location Address1801 AMBER AVE SSartell, MN 56377-7507
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338 · Fax (218) 287-5928
Phone(320) 281-5306
Sole ProprietorNo
Enumeration DateFebruary 11, 2022
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1962156554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1801 AMBER AVE S, Sartell, MN 56377
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacey Hansen

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.

ADEN VOLLEN
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
RUQAYAH ABUHADID
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
STEPHANIE FORD
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
SHANNON KUMMROW
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
COURTNEY NATHE
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
DONALD EKSTROM
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
BROOKE METTEER
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338
ISABELLE STAGGS
Specialist
1801 AMBER AVE S
SARTELL, MN 56377
Stearns County (218) 287-4338

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 Jacey Gibbons's NPI number?

The NPI number for Jacey Gibbons is 1962156554. It was assigned to this individual provider in the NPPES registry on February 11, 2022. The provider is also known as Jacey Hansen.

Where is Jacey Gibbons located?

Jacey Gibbons practices at 1801 Amber Ave S, Sartell, MN 56377. The listed phone number is (320) 281-5306.

What is Jacey Gibbons's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacey Gibbons was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.