Individual provider · Type 1 NPI

Autumn Suzanne Gibson

Licensed Practical Nurse · Chesterfield, MI

NPI number 1730729153 Active

Practice location

31950 23 Mile Rd
Chesterfield, MI 48047-4655

Mailing address

51145 Nicolette Dr
Chesterfield, MI 48047-4585

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Licensed Practical Nurse Primary 164W00000X4703126279 (MI)

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 1730729153

Autumn Suzanne Gibson's National Provider Identifier is 1730729153, issued on Jan 14, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chesterfield, MI. The record was last updated on Jan 28, 2025.