Individual provider · Type 1 NPI

Marianna Kay-Araceli Pettyjohn

Licensed Practical Nurse · Shawnee, OK

NPI number 1093664658 Active

Practice location

2307 Gordon Cooper Dr
Shawnee, OK 74801-9007

Call (405) 273-5236 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X219341 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1093664658

Marianna Kay-Araceli Pettyjohn's National Provider Identifier is 1093664658, issued on Jan 27, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shawnee, OK. The record was last updated on Jan 27, 2026.