Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Wall

Individual provider Licensed Practical Nurse · NPI 1255146486

Alyssa Wall is a Licensed Practical Nurse in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2025.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone: (405) 964-5770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 209671 (OK)

Record details

NPI number1255146486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2025
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address781 Grand Casino Blvd, Shawnee, OK 74804-1005

Other providers in Shawnee