Individual provider · Type 1 NPI
Shaneeka Gibson
Family Nurse Practitioner · Cleveland, OH
NPI number
1174073258
Active
Practice location
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Mailing address
3726 Roselawn Ave
Woodmere, OH 44122-4536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 019814 (OH) |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.019814 (OH) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174073258
Shaneeka Gibson's National Provider Identifier is 1174073258, issued on Oct 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, OH. The record was last updated on Jan 28, 2025.