JESSICA N PEACOCK
NPI 1962214775
Licensed Vocational Nurse in Shawnee, OK

Q: What is Jessica Peacock's NPI number?

The NPI number for Jessica Peacock is 1962214775. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Q: What is Jessica Peacock's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Peacock was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 21, 2025

781 GRAND CASINO BLVD, SHAWNEE, OK 74804(405) 964-5770 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica N Peacock NPPES

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

JESSICA N PEACOCK (NPI 1962214775) is an individual licensed vocational nurse in Shawnee, Oklahoma, licensed in Oklahoma (L0065286) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1962214775

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJESSICA N PEACOCK

Location Address781 GRAND CASINO BLVDShawnee, OK 74804-1005

Mailing Address781 Grand Casino BlvdShawnee, OK 74804-1005 · (405) 964-5770

Phone(405) 964-5770

Sole ProprietorNo

Enumeration DateJanuary 21, 2025

NPPES CertifiedJanuary 21, 2025

✔ NPI 1962214775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in OK · L0065286

Definition

A licensed vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

781 GRAND CASINO BLVD, Shawnee, OK 74804

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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.

MISS MARY E ZIENTEK RN

Registered Nurse (Ambulatory Care)

781 GRAND CASINO BLVD, CITIZEN POTAWATOMI NATION HEALTH SERVICES
SHAWNEE, OK 74804

Pottawatomie County (405) 964-5770

JORDAN BENSON

Physical Therapist