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

Jacob R Gisby

Individual provider Nurse's Aide · NPI 1598548075

Jacob R Gisby is a Nurse's Aide in Longview, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

720 14th Ave
Longview, WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 423-5086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence NC61043068 (WA)

Record details

NPI number1598548075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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