National Provider Identifier
Jaevonna Angelique Gibbs
Jaevonna Angelique Gibbs is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in North Chili, NY and a listed phone number of (585) 414-0964.
Source: public NPPES record, last updated November 21, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1699244400
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 21, 2018
- Last Updated
- November 21, 2018
Practice Location
- 13 Rio Grande Dr
- North Chili, NY 14514-9761
Phone: (585) 414-0964
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Jaevonna Angelique Gibbs is a licensed practical nurse based in North Chili, New York.
Full Record
- NPI
- 1699244400
- Entity Type
- Individual
- Last Name
- Gibbs
- First Name
- Jaevonna
- Middle Name
- Angelique
- Mailing Street Address
- 13 Rio Grande Dr
- Mailing City
- North Chili
- Mailing State
- NY
- Mailing ZIP Code
- 14514-9761
- Mailing Country
- US
- Practice Street Address
- 13 Rio Grande Dr
- Practice City
- North Chili
- Practice State
- NY
- Practice ZIP Code
- 14514-9761
- Practice Country
- US
- Practice Phone
- (585) 414-0964
- Enumeration Date
- November 21, 2018
- Last Updated
- November 21, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)