Aesia Jade Quarles, LPN
Individual provider Active NPI Licensed Practical Nurse · Silo, OK
NPI 1740164573 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1740164573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 219111 (OK)
- Practice address
- 5912 US-70
Silo, OK 74701 - Phone
- (580) 745-9083
- Fax
- (620) 515-1839
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219111 | OK | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 219111 | OK | Yes |
Addresses
Primary practice location
5912 US-70
Silo, OK 74701
Mailing address
5916 Wilson St Unit 18
Durant, OK 74701-7819
Phone (620) 515-1839
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.