Individual provider · Type 1 NPI

Jadia M. Gibbons

Licensed Practical Nurse · Farmington Hills, MI

NPI number 1104544675 Active

Practice location

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	4703132033 (MI)
Behavior Technician	106S00000X	None listed

Licensed Practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104544675

Jadia M. Gibbons's National Provider Identifier is 1104544675, issued on Aug 19, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Sep 4, 2025.