Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA N PEACOCK
ActiveJESSICA N PEACOCK is a Licensed Vocational Nurse healthcare provider located in SHAWNEE, Oklahoma. NPI 1962214775 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · SHAWNEE, OK
Registration Details
- NPI Number
- 1962214775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2025 (1.5926724777255 yrs)
- Last Updated
- Jan 21, 2025
- License
-
L0065286 (OK)
Practice Information
- Address
-
781 GRAND CASINO BLVDSHAWNEE, OK, 748041005Browse OK providers · Browse ZIP 74804
- Phone
- 4059645770
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.