# ALICIA D JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225235377
- **Gender:** F
- **Credential:** APRN-CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R57581 | OK | Yes |
| 364S00000X | Clinical Nurse Specialist | R0057581 | OK | — |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 12/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200114010A | — | OK |