Search › Oklahoma › Licensed Practical Nurse
Derek Smith
NPI 1629755012 · on the registry since 2023
Practice
- Address
- 6333 E Skelly Dr
Tulsa, OK 74135 - Phone
- (539) 593-1299
- Organisation at this address
- 12&12 Inc
12 And 12 Inc
Addiction Medical Specialists Llc
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 404
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Also registered as
- Licensed Practical Nurse
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-09
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