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Search › Oklahoma › Licensed Practical Nurse

Jackson Phelps, LPN

NPI 1336954569 · on the registry since 2025

Practice

Address
781 Grand Casino Blvd
Shawnee, OK 74804
Phone
(405) 964-5770
Fax
(405) 695-6029
Organisation at this address
Citizen Potawatomi Nation
Citizen Potawatomi Nation West Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma