Provider Demographics
NPI:1104343094
Name:GIBBONS, ERIN J (APN, WHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:J
Last Name:GIBBONS
Suffix:
Gender:F
Credentials:APN, WHNP-BC
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:J
Other - Last Name:GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN, WHNP-BC
Mailing Address - Street 1:227 LAUREL RD
Mailing Address - Street 2:STE 300
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-8303
Mailing Address - Country:US
Mailing Address - Phone:973-822-3879
Mailing Address - Fax:
Practice Address - Street 1:15 JAMES ST
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-822-3879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO00752600363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health