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

Jodi Marie Gibson, ANP

Individual provider Nurse Practitioner · NPI 1528296878

Jodi Marie Gibson, ANP is a Nurse Practitioner in Mountain Home, Arkansas. Qualified in 2009, 17 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
17
Licensed in
AR
In the registry since
2009
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Practice location Address checks out

1020 Highway 62 E
Mountain Home, AR 72653-3216
Phone: (870) 337-2172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ATP 000216 (AR)

Record details

NPI number1528296878
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedJune 25, 2009
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mountain Home