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CHRISTINIA L JACK LPN
NPI 1780924860
Licensed Practical Nurse in Shawnee, OK

Active since February 26, 2013
2307 GORDON COOPER DR, SHAWNEE, OK 74801(405) 273-5236 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Christinia L Jack Lpn NPPES

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

CHRISTINIA L JACK LPN (NPI 1780924860) is an individual licensed practical nurse in Shawnee, Oklahoma, licensed in Oklahoma (L0059723) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1780924860
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHRISTINIA L JACKCredential: LPN
Location Address2307 GORDON COOPER DRShawnee, OK 74801-9007
Mailing Address2307 Gordon Cooper DrShawnee, OK 74801-9007 · (405) 273-5236
Phone(405) 273-5236
Sole ProprietorNo
Enumeration DateFebruary 26, 2013
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1780924860 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 · L0059723
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
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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.

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
MARIANNA KAY-ARACELI PETTYJOHN
Licensed Practical Nurse
2307 GORDON COOPER DR
SHAWNEE, OK 74801
Pottawatomie County (405) 273-5236
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

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 Christinia Jack's NPI number?

The NPI number for Christinia Jack is 1780924860. It was assigned to this individual provider in the NPPES registry on February 26, 2013.

Where is Christinia Jack located?

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

What is Christinia Jack'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 Christinia Jack was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.