Individual provider · Type 1 NPI

Matthew Adcock, MICROPIGMENTOLOGIST

Licensed Practical Nurse · Tulsa, OK

NPI number 1780284729 Active

Practice location

7035 S Memorial Dr
Tulsa, OK 74133-3000

Mailing address

2415 E 22nd St
Tulsa, OK 74114-3118

Specialties and licenses

TaxonomyCodeLicense
Medical Art Specialist/Technologist 246ZA2600X1781 (OK)
Licensed Practical Nurse Primary 164W00000X210707 (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 1780284729

Matthew Adcock, MICROPIGMENTOLOGIST's National Provider Identifier is 1780284729, issued on Oct 29, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2025.