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

Mr. Edward Brooke Gibson II, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1790305944

Mr. Edward Brooke Gibson II, CPNP-AC is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (800) 879-2467
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 SP021857 (PA)

Record details

NPI number1790305944
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESApril 17, 2020
Certification dateApril 17, 2020

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