Individual provider · Type 1 NPI

Tamalya Lyn Willoughby, LPN

Licensed Practical Nurse · Shawnee, OK

NPI number 1972857654 Active

Practice location

2307 Gordon Cooper Dr
Shawnee, OK 74801-9007

Mailing address

544 N Center Ave
Shawnee, OK 74801-7215

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0050130 (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 1972857654

Tamalya Lyn Willoughby, LPN's National Provider Identifier is 1972857654, issued on Nov 2, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shawnee, OK. The record was last updated on Nov 2, 2012.