Individual provider · Type 1 NPI
Shanise Gibson, RN
Administrator Registered Nurse · Rock Hill, SC
NPI number
1093643223
Active
Practice location
1565 Ebenezer Rd Ste 111
Rock Hill, SC 29732-2494
Mailing address
436 Dutch White Dr
Clover, SC 29710-6926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 273853 (SC) |
Administrator Registered Nurse: Definition to come...
2 other providers at this address
Other administrator registered nurse providers in Rock Hill
About NPI 1093643223
Shanise Gibson, RN's National Provider Identifier is 1093643223, issued on May 9, 2026. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Rock Hill, SC. The record was last updated on May 9, 2026.