Individual
ALICIA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
3500 HEALTHPLEX PKWY, SUITE 200, NORMAN, OK 73072-9738
(405) 515-2260
(405) 307-5617
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 515-2260
(405) 307-5617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R57581
OK
364S00000X
Clinical Nurse Specialist
R0057581
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114010A
—
OK
Enumeration date
07/02/2007
Last updated
12/20/2013
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