Healthcare Provider Details

I. General information

NPI: 1861311169
Provider Name (Legal Business Name): OJI GIBSON DNP, PMHNP-BC, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 N CHURCH ST # 395808
WILMINGTON DE
19802-4447
US

IV. Provider business mailing address

51 MAGNOLIA AVE
SMYRNA DE
19977-5260
US

V. Phone/Fax

Practice location:
  • Phone: 908-380-4897
  • Fax:
Mailing address:
  • Phone: 908-380-4897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberL8-0010712
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: