Individual
SHANNON GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 GRAINLAND RD, WAYNE, NE 68787-1648
(402) 375-8994
Mailing address
1203 GRAINLAND RD, WAYNE, NE 68787-1648
(402) 375-8994
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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