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

Mrs. Jamie Lynn Gibson, FNP

Individual provider Registered Nurse · NPI 1225275548

Mrs. Jamie Lynn Gibson, FNP is a Nurse Practitioner in Canton, New York. Qualified in 2022, 4 years ago. Practices with Massena Hospital Inc, a 49-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6119 US Highway 11
Canton, NY 13617-3991
Phone: (315) 265-3300
Fax: (315) 386-2781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F350233 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 555402 (NY)

Record details

NPI number1225275548
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2009
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022

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)
Group practice Massena Hospital Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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