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Mitzi Pemberton, LPN
NPI 1366717134 · Licensed Practical Nurse · Ponca City, OK
Mitzi Pemberton, LPN is a Licensed Practical Nurse provider in Ponca City, OK (NPI 1366717134).
Provider details
- NPI number
- 1366717134
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- L0045857 (OK)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
1500 N 6th St
Ponca City, OK 74601-2827
Phone: (580) 763-0931
Fax: (580) 763-0934
Street-level locationGet directions
Mailing address
3003 Turner St Apt B
Ponca City, OK 74604-1537
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2012-03-13
Frequently asked questions
- What is Mitzi Pemberton's NPI number?
- Mitzi Pemberton's National Provider Identifier (NPI) is 1366717134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitzi Pemberton's specialty?
- Mitzi Pemberton is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Mitzi Pemberton located?
- Mitzi Pemberton's practice location on file with NPPES is 1500 N 6th St, Ponca City, OK 74601-2827.
- What is Mitzi Pemberton's phone number?
- The practice phone number listed in the NPPES registry for Mitzi Pemberton is (580) 763-0931.
- Is Mitzi Pemberton's NPI active?
- Yes — Mitzi Pemberton's NPI (1366717134) is active in the NPPES registry as of the last update on 2012-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.