Individual provider · Type 1 NPI

Stacey Gibson

Licensed Practical Nurse · Cincinnati, OH

NPI number 1508117623 Active

Practice location

3288 Highland Ave
Cincinnati, OH 45213-2508

Call (513) 550-6175 Map

Mailing address

6525 Elwynne Dr
Cincinnati, OH 45236-4017

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide 374U00000XNone listed
Licensed Practical Nurse Primary 164W00000X184173 (OH)

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 1508117623

Stacey Gibson's National Provider Identifier is 1508117623, issued on Sep 28, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cincinnati, OH. The record was last updated on Apr 24, 2023.