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Cody J. Gibbs, NP-C
Nurse Practitioner in Canton, Illinois
NPI 1205335510

Cody J. Gibbs is a Nurse Practitioner based in Canton, IL. Cody J. Gibbs practices in Canton, IL and has the professional credentials of NP-C. The NPI Number for Cody J. Gibbs is 1205335510 and holds a License No. 209017218 (Illinois).

The current practice location address for Cody J. Gibbs is 180 S Main St, Canton, IL and can be reached out via phone at 309-647-0201 and via fax at 309-649-6880.

Location: 180 S Main St, Canton, IL, 61520-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205335510
Provider Name
Cody J. Gibbs
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
180 S Main St, Canton, IL, 61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
Provider Enumeration Date
02/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209017218 01 IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
180 S Main St
City
Canton
State
Illinois
Zip
61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
person
Provider Business Mailing Address Details
Address
180 S Main St
City
Canton
State
Illinois
Zip
61520-2608
Phone Number
309-647-0201
Fax Number
309-649-6880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209017218 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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