Individual
MICHELLE LEE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
3414 NW 135TH ST, OKLAHOMA CITY, OK 73120-4009
(405) 749-0900
(405) 749-0913
Mailing address
PO BOX 660, PIEDMONT, OK 73078-0660
(405) 373-2400
(405) 373-4400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90435
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200187040A
—
OK
Enumeration date
12/31/2007
Last updated
06/20/2018
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