Individual
ANGELA D JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3201 N VAN BUREN ST, ENID, OK 73703-1812
(580) 234-7070
(580) 234-9544
Mailing address
PO BOX 3494, ENID, OK 73702-3494
(580) 234-7070
(580) 234-9544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5249
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200513210A
—
OK
Enumeration date
09/19/2008
Last updated
08/13/2025
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