Individual
SHAWANA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3094
(863) 293-1191
(863) 293-3959
Mailing address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3094
(863) 293-1191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11022404
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11022404
FL
Other
Enumeration date
10/17/2022
Last updated
10/07/2025
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