Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093211732 Individual Practitioner Female Practitioner

Jessica Williams , LPN

Licensed Practical Nurse • Shawnee, OK

Professional Overview & Biography Verified Profile Summary

Jessica Williams, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Shawnee, OK. Practice services are available at 781 GRAND CASINO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

781 Grand Casino Blvd

Shawnee, OK 748041005

Telephone 4059645770
Associated Practice Facility / Clinic
🏢 Citizen Potawatomi Nation Facility NPI 1881981744

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Shawnee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
85 Specialists

Practicing in Shawnee, OK (1129 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-24
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OK 68628

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi Lpn
1093211732 (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Mary Zientek , RN

Registered Nurse - Ambulatory Care

NPI 1023352721

Registered Nurse

Nicole Brown

Licensed Practical Nurse

NPI 1063978757
Destiny Mitchell , APRN-CNP

Nurse Practitioner - Family

NPI 1114309317

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Michelle Smith

Licensed Practical Nurse

NPI 1215321906
Alyssa Wall

Licensed Practical Nurse

NPI 1255146486
Madison Leclaire

Registered Nurse

NPI 1265247498

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated June 24, 2020

Recorded as JESSICA WILLIAMS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Licensed Practical Nurse (License #68628 in OK)

NPI Profile Active April 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2018

Registered at 781 GRAND CASINO BLVD, SHAWNEE, OK 748041005 (Tel: 4059645770)

📍
Updated Business Mailing Address April 02, 2018

Registered at 781 GRAND CASINO BLVD, SHAWNEE, OK 748041005 (Tel: 4059645770)

👤
Provider Name / Credentials Updated April 02, 2018

Recorded as JESSICA SANDERS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2018

Licensed Practical Nurse (License #L0068628 in OK)

🟢
Initial NPI Registration & Enumeration April 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093211732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2018
Last Update: June 24, 2020
Sole Proprietor: No

Mailing Address

781 Grand Casino Blvd

Shawnee, OK 748041005

Phone: 4059645770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.