Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWNA MARIE GIBBS, LPN ADON
ActiveLicensed Practical Nurse · CAHOKIA HEIGHTS, IL
Registration Details
- NPI Number
- 1700543857
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2021 (4.4584586102562 yrs)
- Last Updated
- Jan 27, 2023
- License
-
043104570 (IL)
Practice Information
- Address
-
3354 JEROME LNCAHOKIA HEIGHTS, IL, 622062604Browse IL providers · Browse ZIP 62206
- Phone
- 6183379400
- Fax
- 6183379394
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.