Individual provider · Type 1 NPI

Derek J. Smith

Licensed Practical Nurse · Tulsa, OK

NPI number 1629755012 Active

Practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

Mailing address

6333 Skelly Drive
Tulsa, OK 74145

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X064110 (OK)
Licensed Practical Nurse Primary 164W00000X0064110 (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 1629755012

Derek J. Smith's National Provider Identifier is 1629755012, issued on Jun 28, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tulsa, OK. The record was last updated on Oct 9, 2024.