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

Jill R Gibson, NP

Individual provider Pediatric Nurse Practitioner · NPI 1073553376

Jill R Gibson, NP is a Pediatric Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

35 Michigan St NE Ste 4150
Grand Rapids, MI 49503-2514
Phone: (616) 267-2100
Fax: (616) 267-2101
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704165794 (MI)

Record details

NPI number1073553376
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESJanuary 28, 2013

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