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Destiny L Gibson-Stewart

Licensed Practical Nurse in Dayton, OH. Individual provider (NPI-1).

NPI number1962010967
StatusActive
Last updated in NPPESJan 24, 2025

Details

NPI
1962010967
Entity type
Individual (NPI-1)
Name
Destiny L Gibson-Stewart
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2020
Certification date
Jan 24, 2025
Last updated
Jan 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLPN.175314.MEDS-IVOHYes

Practice location

865 S Patterson Blvd
Dayton, OH 45402-2624

Phone 937-966-4673

Mailing address

100 Crowne Point Pl
Cincinnati, OH 45241-5427

Phone 513-743-7628

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