Shawna Marie Gibbs, LPN ADON is a
Licensed Practical Nurse based in Cahokia Heights, Illinois. Shawna Marie Gibbs is licensed to practice in Illinois (license number 043104570) and her current practice location is
3354 Jerome Ln, Cahokia Heights, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 337-9400.
NPI number for Shawna Marie Gibbs is 1700543857 and her current mailing address is 3354 Jerome Ln, Cahokia Heights, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700543857.
Provider's Profile
Full Name | Shawna Marie Gibbs |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3354 Jerome Ln, Cahokia Heights, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700543857
- Provider Enumeration Date: 11/23/2021
- Last Update Date: 01/27/2023
Medical Identifiers
Medical identifiers for Shawna Marie Gibbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700543857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043104570 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawna Marie Gibbs is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shawna Marie Gibbs, LPN ADON 3354 Jerome Ln, Cahokia Heights, IL 62206-2604 Ph: (618) 337-9400 | Shawna Marie Gibbs, LPN ADON 3354 Jerome Ln, Cahokia Heights, IL 62206-2604 Ph: (618) 337-9400 |
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