Individual
MELAUNDRA DANIELLE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 METRO PL N STE 300, DUBLIN, OH 43017-5320
(419) 936-7737
(419) 354-1774
Mailing address
1084 S MAIN ST STE A, BOWLING GREEN, OH 43402-4740
(419) 936-7737
(419) 354-1774
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
4704267758
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0039245
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
04/07/2016
Last updated
02/06/2026
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