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NPI Code Detail

MEDICARE: SHEMEKA GIBBS AGNP

MEDICARE: SHEMEKA GIBBS AGNP
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
1363LA2200XAdult Health Nurse Practitioner291930NC

General Provider Information

NPI Number : 1922942085
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEMEKA GIBBS AGNP
Provider Business Mailing Address
First Line : 2014 CEDAR POINT CIR
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-9694
Country : US
Telephone Number : 252-340-0204
Fax Number : 252-340-0204
Provider Business Practice Location Address
First Line : 1075 US HIGHWAY 17 S
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-7628
Country : US
Telephone Number : 252-338-3975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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