SHATISHA ROUSON LPN
NPI 1427753698
Licensed Practical Nurse in Oklahoma City, OK

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since April 05, 2023

4901 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119(405) 605-4005(405) 601-2023 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shatisha Rouson Lpn NPPES

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

SHATISHA ROUSON LPN (NPI 1427753698) is an individual licensed practical nurse in Oklahoma City, Oklahoma, licensed in Oklahoma (55978) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1427753698

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHATISHA ROUSONCredential: LPN

Location Address4901 S PENNSYLVANIA AVEOklahoma City, OK 73119-4945

Mailing Address4901 S Pennsylvania AveOklahoma City, OK 73119-4945 · (405) 605-4005 · Fax (405) 601-2023

Phone(405) 605-4005

Fax(405) 601-2023

Sole ProprietorNo

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1427753698 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 · 55978

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.

4901 S PENNSYLVANIA AVE, Oklahoma City, OK 73119

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