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JAEVONNA ANGELIQUE GIBBS
NPI 1699244400
Licensed Practical Nurse in North Chili, NY

Active since November 21, 2018
13 RIO GRANDE DR, NORTH CHILI, NY 14514(585) 414-0964 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaevonna Angelique Gibbs NPPES

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

JAEVONNA ANGELIQUE GIBBS (NPI 1699244400) is an individual licensed practical nurse in North Chili, New York, licensed in New York (333815) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1699244400
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJAEVONNA ANGELIQUE GIBBS
Location Address13 RIO GRANDE DRNorth Chili, NY 14514-9761
Mailing Address13 Rio Grande DrNorth Chili, NY 14514-9761
Phone(585) 414-0964
Sole ProprietorNo
Enumeration DateNovember 21, 2018
✔ NPI 1699244400 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 · 333815
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.
13 RIO GRANDE DR, North Chili, NY 14514
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaevonna Gibbs's NPI number?

The NPI number for Jaevonna Gibbs is 1699244400. It was assigned to this individual provider in the NPPES registry on November 21, 2018.

Where is Jaevonna Gibbs located?

Jaevonna Gibbs practices at 13 Rio Grande Dr, North Chili, NY 14514. The listed phone number is (585) 414-0964.

What is Jaevonna Gibbs's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaevonna Gibbs was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.