FELECIA WIMBERLY-GIBSON CNP NPI 1053730390

NPI Information

NPI: 1053730390
Provider Name: FELECIA WIMBERLY-GIBSON, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
9318 STATE ROUTE 14
1ST FLOOR
STREETSBORO, OH
ZIP 44241
Phone: (330) 626-3455
Get Directions

Felecia Wimberly-gibson, CNP is an adult health nurse practitioner in Streetsboro, OH with 14 years of experience. Felecia Wimberly-gibson, CNP NPI is 1053730390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9318 STATE ROUTE 14
1ST FLOOR
STREETSBORO, OH
ZIP 44241-224
Phone: (330) 626-3455
Fax: (330) 626-4189

The NPI 1053730390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	RN.240900	OHIO	No
2	363LA2200X	Nurse Practitioner	Adult Health	15849	OHIO	Yes
3	363LF0000X	Nurse Practitioner	Family	COA 15849-NP	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN-240900	OTHER	OHIO	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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