Individual provider · Type 1 NPI

Shanette Netina Fowlkes

Licensed Practical Nurse · Tulsa, OK

NPI number 1346067808 Active

Practice location

2325 S Harvard Ave
Tulsa, OK 74114-3300

Mailing address

6258 E 36th St
Tulsa, OK 74135-5809

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0067608 (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 1346067808

Shanette Netina Fowlkes's National Provider Identifier is 1346067808, issued on Sep 25, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 25, 2024.