Individual provider · Type 1 NPI
Kerrianne Wallace, RN
Registered Nurse · Tulsa, OK
Practice location
1323 E 71st St
Tulsa, OK 74136-5045
Mailing address
408 E Vicksburg St
Broken Arrow, OK 74011-3801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 206070 (OK) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1801687421
Kerrianne Wallace, RN's National Provider Identifier is 1801687421, issued on May 14, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Tulsa, OK. The record was last updated on May 14, 2025.