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MITZI GAIL PEMBERTON LPN
NPI 1366717134
Licensed Practical Nurse in Ponca City, OK

Active since March 13, 2012
1500 N 6TH ST, PONCA CITY, OK 74601(580) 763-0931(580) 763-0934 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitzi Gail Pemberton Lpn NPPES

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

MITZI GAIL PEMBERTON LPN (NPI 1366717134) is an individual licensed practical nurse in Ponca City, Oklahoma, licensed in Oklahoma (L0045857) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1366717134
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMITZI GAIL PEMBERTONCredential: LPN
Location Address1500 N 6TH STPonca City, OK 74601-2827
Mailing Address3003 Turner St Apt BPonca City, OK 74604-1537 · (580) 763-7171
Phone(580) 763-0931
Fax(580) 763-0934
Sole ProprietorNo
Enumeration DateMarch 13, 2012
✔ NPI 1366717134 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 · L0045857
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.
1500 N 6TH ST, Ponca City, OK 74601
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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.

JENNIFER LYN JOHNSON
Case Manager/Care Coordinator
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
RENIA LYNN BATMAN
Counselor
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (918) 287-1175
MRS. TAMMY L HODGES
Case Manager/Care Coordinator
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
EDWIN FAIR CMHC
Case Management
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
SIERRA SMITH
Social Worker
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
ANDRE WILLIAMS
Social Worker
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
NICHOLAS AARON COBLE
Case Manager/Care Coordinator
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561
SHELBY MARY-MAXINE SCHUTTE
Case Manager/Care Coordinator
1500 N 6TH ST
PONCA CITY, OK 74601
Kay County (580) 762-7561

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 Mitzi Pemberton's NPI number?

The NPI number for Mitzi Pemberton is 1366717134. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Mitzi Pemberton located?

Mitzi Pemberton practices at 1500 N 6th St, Ponca City, OK 74601. The listed phone number is (580) 763-0931.

What is Mitzi Pemberton'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 Mitzi Pemberton was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.