Individual provider · Type 1 NPI

Shana M. Gibbons, RN

Psychiatric/Mental Health Registered Nurse · Lodi, CA

NPI number 1376106203 Active

Practice location

1209 W Tokay St
Lodi, CA 95240-3845

Mailing address

8645 Nemea Way
Elk Grove, CA 95624-3445

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN95178653 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1376106203

Shana M. Gibbons, RN's National Provider Identifier is 1376106203, issued on Apr 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lodi, CA. The record was last updated on Apr 16, 2019.