Individual provider · Type 1 NPI

Jaevonna Angelique Gibbs

Licensed Practical Nurse · North Chili, NY

NPI number 1699244400 Active

Practice location

13 Rio Grande Dr
North Chili, NY 14514-9761

Call (585) 414-0964 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X333815 (NY)

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 1699244400

Jaevonna Angelique Gibbs's National Provider Identifier is 1699244400, issued on Nov 21, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in North Chili, NY. The record was last updated on Nov 21, 2018.