Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elyse Gibbons, PA-C

Individual provider Physician Assistant · NPI 1255104774

Elyse Gibbons, PA-C is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (781) 856-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9551 (MA)

Record details

NPI number1255104774
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

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