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

Individual provider Pediatrics Physician · NPI 1396263216

Maya Jackson-Gibson is a Pediatric Medicine in Philadelphia, Pennsylvania. Graduated from Northwestern University Feinberg Medical School in 2022, 4 years ago. Works from 2 locations. Licensed in Illinois and Pennsylvania.

Years since qualifying
4
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL, PA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 — (312) 503-7975

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MT225176 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 036.176226. (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396263216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESMay 24, 2026
Certification dateMay 24, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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