What is Jackson Phelps's NPI number?

Jackson Phelps's National Provider Identifier (NPI) is 1336954569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackson Phelps's specialty?

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

Where is Jackson Phelps located?

Jackson Phelps's practice location on file with NPPES is 781 Grand Casino Blvd, Shawnee, OK 74804-1005.

What is Jackson Phelps's phone number?

The practice phone number listed in the NPPES registry for Jackson Phelps is (405) 964-5770.

Is Jackson Phelps's NPI active?

Yes — Jackson Phelps's NPI (1336954569) is active in the NPPES registry as of the last update on 2025-02-13.

IndividualActive

Jackson Phelps, LPN

NPI 1336954569 · Licensed Practical Nurse · Shawnee, OK

Jackson Phelps, LPN is a Licensed Practical Nurse provider in Shawnee, OK (NPI 1336954569).

Provider details

NPI number: 1336954569
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Male
Sole proprietor: No
License: 219424 (OK)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 219424 (OK)
Nursing Service Providers

Profile Score

Established profile(55/100 index)

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

Registry tenure38% of score
1 yr in NPPES 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

781 Grand Casino Blvd

Shawnee, OK 74804-1005

Phone: (405) 964-5770

Fax: (405) 695-6029

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address