Individual provider · Type 1 NPI

Lineisha Gibson

Licensed Vocational Nurse · San Antonio, TX

NPI number 1083194005 Active

Practice location

8700 Crownhill Blvd
San Antonio, TX 78209-1136

Call (210) 824-5530 Map

Mailing address

2115 Colorado Bnd
San Antonio, TX 78245-3676

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	313872 (TX)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1083194005

Lineisha Gibson's National Provider Identifier is 1083194005, issued on Aug 20, 2018. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 20, 2018.