IndividualActive
Jennipher Gibbons
NPI 1609595024 · Custodial Care Facility · Edmore, MI
Provider details
- NPI number
- 1609595024
- Entity type
- Individual
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- AF590409770 (MI)
Mailing address
1850 W Michigan Ave
Edmore, MI 48829-9376
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.