NPI
Jake Gibbons
NPI 1043488562
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- OTA
- Type
- Individual
- Enumeration date
- 2008-02-19
- Last updated
- 2008-02-19
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Specialties
Licenses
- License IA
- 00306
Location
- Practice location
- 326 Summerset St
- City
- Fontanelle IA
- Postal code
- 50846-8098
- Phone
- (615) 896-6400
- Fax
- (615) 896-5177
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 Fontanelle, IA. 8 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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