Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Gibbons, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1760245807

Stephanie Gibbons, AGPCNP-BC is a Nurse Practitioner in Grandview, Washington. Qualified in 2023, 3 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2024

Practice location Address checks out

1907 W 2nd St
Grandview, WA 98930-1177
Phone: (801) 913-7271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP61527441 (WA)

Record details

NPI number1760245807
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grandview