MELISSA D. GIBBS LPN
NPI 1790043263
Licensed Practical Nurse in Fairfield, IL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since May 02, 2012

209 NW 11TH ST, FAIRFIELD, IL 62837(618) 842-4470 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Melissa D. Gibbs Lpn NPPES

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

MELISSA D. GIBBS LPN (NPI 1790043263) is an individual licensed practical nurse in Fairfield, Illinois, licensed in Illinois (043075009) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1790043263

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMELISSA D. GIBBSCredential: LPN

Location Address209 NW 11TH STFairfield, IL 62837-1218

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2436

Phone(618) 842-4470

Sole ProprietorNo

Enumeration DateMay 2, 2012

✔ NPI 1790043263 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 IL · 043075009

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.

209 NW 11TH ST, Fairfield, IL 62837

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