Individual provider · Type 1 NPI
Crystal Leanna Gibson, RN
Gerontology Registered Nurse · Ozark, MO
NPI number
1336034115
Active
Practice location
300 Cedar Ridge Rd
Ozark, MO 65721-8969
Fax (417) 559-5997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 2015028933 (MO) |
Gerontology Registered Nurse: Definition to come...
About NPI 1336034115
Crystal Leanna Gibson, RN's National Provider Identifier is 1336034115, issued on Jun 11, 2025. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Ozark, MO. The record was last updated on Jun 11, 2025.