Healthcare Provider Details

I. General information

NPI: 1780535781
Provider Name (Legal Business Name): THRIVE WOUND & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 MCNUTT RD STE 5
SUNLAND PARK NM
88063-9613
US

IV. Provider business mailing address

6513 HARAPON ST
EL PASO TX
79932-2559
US

V. Phone/Fax

Practice location:
  • Phone: 915-487-4391
  • Fax:
Mailing address:
  • Phone: 915-487-4391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JERA GIBELLI
Title or Position: OWNER/ HCP
Credential: FNP-C
Phone: 915-487-4391