Individual
JAYLA PAIGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(844) 458-2100
Mailing address
1331 E 64TH ST APT 12, TULSA, OK 74136-3811
(918) 900-8271
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
06/19/2025
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