What is Marianna Pettyjohn's NPI number?

Marianna Pettyjohn's National Provider Identifier (NPI) is 1093664658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Marianna Pettyjohn's specialty?

Marianna Pettyjohn is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Marianna Pettyjohn located?

Marianna Pettyjohn's practice location on file with NPPES is 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007.

What is Marianna Pettyjohn's phone number?

The practice phone number listed in the NPPES registry for Marianna Pettyjohn is (405) 273-5236.

Is Marianna Pettyjohn's NPI active?

Yes — Marianna Pettyjohn's NPI (1093664658) is active in the NPPES registry as of the last update on 2026-01-27.

IndividualActive

Marianna Pettyjohn

NPI 1093664658 · Licensed Practical Nurse · Shawnee, OK

Marianna Pettyjohn is a Licensed Practical Nurse provider in Shawnee, OK (NPI 1093664658).

Provider details

NPI number: 1093664658
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: Yes
License: 219341 (OK)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 219341 (OK)
Nursing Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2307 Gordon Cooper Dr

Shawnee, OK 74801-9007

Phone: (405) 273-5236

Approximate (ZIP-level) locationGet directions

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Mailing address