Provider Demographics
NPI:1902692270
Name:PEOPLES GIBBS, LATOYA NATASHA (LPN)
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:NATASHA
Last Name:PEOPLES GIBBS
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:NATASHA
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2935 RUSS ST
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-2927
Mailing Address - Country:US
Mailing Address - Phone:850-326-4556
Mailing Address - Fax:
Practice Address - Street 1:6348 BLESS RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:FL
Practice Address - Zip Code:32443-2175
Practice Address - Country:US
Practice Address - Phone:850-326-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 372500000X, 372600000X
FLPN5207885164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty