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NPI Code Detail

MEDICARE: JAMES H GIBSON LPN

MEDICARE:   JAMES H GIBSON  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN 120682OH

General Provider Information

NPI Number : 1548469471
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES H GIBSON LPN
Provider Business Mailing Address
First Line : 2876 PARLIN DR
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2020
Country : US
Telephone Number : 614-558-0721
Fax Number :
Provider Business Practice Location Address
First Line : 2876 PARLIN DR
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2020
Country : US
Telephone Number : 614-558-0721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 11/24/2008

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Directions to “ JAMES H GIBSON LPN” Practice Location

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