Individual
MRS. JEANIE KAY JOHNSON SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 N HARRISON ST, SHAWNEE, OK 74804-3133
(405) 395-4441
(405) 438-0540
Mailing address
2400 N HARRISON ST, SHAWNEE, OK 74804-3133
(405) 395-4441
(405) 438-0540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1496
OK
Other
Enumeration date
04/25/2006
Last updated
06/07/2023
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