Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey L Gibson, RN, CPNP-PC

Individual provider Registered Nurse · NPI 1770806796

Stacey L Gibson, RN, CPNP-PC is a Registered Nurse in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2010.

Licensed in
KS, MO
In the registry since
2010
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone: (816) 234-3982
Fax: (816) 802-1260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2005001915 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2005001915 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 1393651041 (KS)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 5375048041 (KS)

Record details

NPI number1770806796
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CPNP-PC
Sole proprietorNo
NPI enumeratedMarch 4, 2010
Last updated in NPPESMarch 4, 2010

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