Individual provider · Type 1 NPI

Tracy Gibson, LPN

Licensed Practical Nurse · Van Wert, OH

NPI number 1679444111 Active

Practice location

18062 State Rd
Van Wert, OH 45891-8842

Call (419) 202-9365 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X144119 (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 1679444111

Tracy Gibson, LPN's National Provider Identifier is 1679444111, issued on Sep 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Van Wert, OH. The record was last updated on Sep 17, 2025.