STACIA GIBBS - NPI 1003301821 - Licensed Practical Nurse in Brooklyn, NY

Q: What is Stacia Gibbs's NPI number?

The NPI number for Stacia Gibbs is 1003301821. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Stacia Gibbs's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacia Gibbs was last updated on June 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stacia Gibbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIA GIBBS (NPI 1003301821) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (743929) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1003301821

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTACIA GIBBS

Location Address6321 NEW UTRECHT AVEBrooklyn, NY 11219-5425

Mailing Address6321 New Utrecht AveBrooklyn, NY 11219-5425 · (212) 687-7464

Phone(212) 687-7464

Sole ProprietorNo

Enumeration DateJune 25, 2018

✔ NPI 1003301821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 743929

Definition

A licensed practical nurse 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.

6321 NEW UTRECHT AVE, Brooklyn, NY 11219

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