Individual provider · Type 1 NPI

Shavonda Gibson

Licensed Practical Nurse · Madison, TN

NPI number 1154627305 Active

Practice location

620 Gallatin Pike S
Madison, TN 37115-4013

Call (615) 460-4300 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X75076 (TN)

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 1154627305

Shavonda Gibson's National Provider Identifier is 1154627305, issued on Feb 7, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, TN. The record was last updated on Feb 7, 2011.