IndividualActive
Jessica Gibson
NPI 1174176754 · Critical Care Medicine Nurse Practitioner · Leesburg, VA
Provider details
- NPI number
- 1174176754
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0024177919 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
44055 Riverside Pkwy
Leesburg, VA 20176-5179
Phone: (703) 858-8878
Approximate (ZIP-level) locationGet directions
Mailing address
3300 Gallows Rd
Falls Church, VA 22042-3307
Additional practice locations (1)
- 3300 Gallows RdFalls Church, VA 22042-3307Phone: (703) 776-3957
Registry dates
- Enumerated
- 2019-07-22
- Last updated
- 2024-03-12
- Certified
- 2024-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.