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

Jenna Rae Gibson, FNP

Individual provider Nurse Practitioner · NPI 1609554146

Jenna Rae Gibson, FNP is a Nurse Practitioner in Mandeville, Louisiana. Qualified in 2022, 4 years ago. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1510 W Causeway Approach Ste B
Mandeville, LA 70471-3022
Phone: (985) 892-3360
Fax: (985) 892-3375
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 230156 (LA)

Record details

NPI number1609554146
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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