NPI
Madena Jane Gibson
NPI 1013431519
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2017-07-27
- Last updated
- 2022-07-21
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Specialties
Licenses
- License MS
- 07981
Location
- Practice location
- 1695 Moses Rd
- City
- Raymond MS
- Postal code
- 39154-8766
- Phone
- (601) 857-8638
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Raymond, MS. 48 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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