LORI NAN GIBSON APN NPI 1114165958

NPI Information

  • NPI: 1114165958
  • Provider Name: LORI NAN GIBSON, APN
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2600 OAKLAND AVE
    ELKHART, IN
    ZIP 46517
  • Phone: (574) 533-1234

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NPI Details

Lori Nan Gibson, APN is a psychiatric/mental health clinical nurse specialist in Elkhart, IN. Lori Nan Gibson, APN NPI is 1114165958. 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:

2600 OAKLAND AVE
ELKHART, IN
ZIP 46517-533
Phone: (574) 533-1234
Fax: (574) 537-2652

The NPI 1114165958 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 2/2/2009 and was last updated on 12/6/2011.

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health71002826AINDIANAYes

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: 11/21/2025

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