Individual
JAMAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 S SEQUOIA AVE, BROKEN ARROW, OK 74011-1157
(918) 955-8600
Mailing address
7415 S 77TH EAST AVE, TULSA, OK 74133-2824
(918) 955-8600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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