Individual
DEBRA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12636 PEPPERTREE PL, OKLAHOMA CITY, OK 73142-2513
(405) 823-0965
Mailing address
12636 PEPPERTREE PL, OKLAHOMA CITY, OK 73142-2513
(405) 823-0965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57975
OK
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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