Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carlie Jordan Gibson

Individual provider Advanced Practice Midwife · NPI 1629809165

Carlie Jordan Gibson is a Certified Nurse Midwife (CNM) in Detroit, Michigan. Graduated from University of Michigan Medical School in 2026. Works from 2 locations. Licensed in Michigan.

Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Fax: (313) 876-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 W Hazelhurst St, Ferndale, MI 48220-1679 — (586) 382-2629

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 4704374179 (MI)
Midwife Taxonomy 176B00000X · Licence 4704374179 (MI)

Record details

NPI number1629809165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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