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

Jennifer Gibbons

Individual provider Registered Nurse · NPI 1588111215

Jennifer Gibbons is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2016, 10 years ago. Practices with St Clare Memorial Hospital, Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7499-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 126972 (WI)

Record details

NPI number1588111215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2016
Last updated in NPPESFebruary 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Clare Memorial Hospital, Inc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay