1. Home
  2. Directory
  3. Oklahoma
  4. Shawnee
  5. Licensed Practical Nurse
  6. NPI Profile

MARIANNA KAY-ARACELI PETTYJOHN
NPI 1093664658
Licensed Practical Nurse in Shawnee, OK

Active since January 27, 2026
2307 GORDON COOPER DR, SHAWNEE, OK 74801(405) 273-5236 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marianna Kay-araceli Pettyjohn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIANNA KAY-ARACELI PETTYJOHN (NPI 1093664658) is an individual licensed practical nurse in Shawnee, Oklahoma, licensed in Oklahoma (219341) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1093664658
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARIANNA KAY-ARACELI PETTYJOHN
Location Address2307 GORDON COOPER DRShawnee, OK 74801-9007
Mailing Address2307 Gordon Cooper DrShawnee, OK 74801-9007 · (405) 273-5236
Phone(405) 273-5236
Sole ProprietorYes
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1093664658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OK · 219341
Definition
A licensed practical nurse 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.
2307 GORDON COOPER DR, Shawnee, OK 74801
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN HEATH FLEMING OD
Optometrist
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
ADRIANNA ARNETT PHARMD
Pharmacist
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
MS. TORIE ANN FULLER M.S., R.D.
Dietitian, Registered
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 395-9303
TRINA DECKER
Community Health Worker
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
CAROL ANN DIAMOND DPH
Pharmacist
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
MR. CHRISTOPHER RYAN JOLLEY RN
Registered Nurse (Diabetes Educator)
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 395-9303
DR. TRAVIS CARL BATES D.D.S.
Dentist (General Practice)
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-6337
AMY LYNCH
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marianna Pettyjohn's NPI number?

The NPI number for Marianna Pettyjohn is 1093664658. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Marianna Pettyjohn located?

Marianna Pettyjohn practices at 2307 Gordon Cooper Dr, Shawnee, OK 74801. The listed phone number is (405) 273-5236.

What is Marianna Pettyjohn's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marianna Pettyjohn was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.