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Tamera Russell
Licensed Practical Nurse in Chickasha, Oklahoma
NPI 1972978567

Tamera Russell is a Licensed Practical Nurse based in Chickasha, OK. Tamera Russell practices in Chickasha, OK. The NPI Number for Tamera Russell is 1972978567 and holds a License No. 55586 (Oklahoma).

The current practice location address for Tamera Russell is 304 S 29Th St, Chickasha, OK and can be reached out via phone at 405-896-8058.

Location: 304 S 29Th St, Chickasha, OK, 73018-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972978567
Provider Name
Tamera Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
304 S 29Th St, Chickasha, OK, 73018-2501
Phone Number
405-896-8058
Fax Number
Provider Enumeration Date
12/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55586 01 OK OK 55586
institution
Provider Business Practice Location Address Details
Address
304 S 29Th St
City
Chickasha
State
Oklahoma
Zip
73018-2501
Phone Number
405-896-8058
Fax Number
person
Provider Business Mailing Address Details
Address
304 S 29Th St
City
Chickasha
State
Oklahoma
Zip
73018-2501
Phone Number
405-896-8058
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
55586 (Oklahoma)
Definition
An individual 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.
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