Individual
MRS. PENNY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3460 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2406
(918) 332-3600
(918) 332-3613
Mailing address
3460 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2406
(918) 332-3600
(918) 332-3613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
K2258689
OK
363LF0000X
Family Nurse Practitioner
Primary
93652
OK
Other
Enumeration date
02/07/2014
Last updated
11/10/2020
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