Individual
MS. JOAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
235 W 6TH ST, CHELSEA, OK 74016-1833
(918) 789-3146
Mailing address
235 W 6TH ST, CHELSEA, OK 74016-1833
(918) 789-3146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 0060108
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200239590A
—
OK
Enumeration date
03/31/2009
Last updated
08/22/2023
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