Individual
MRS. CONNIE JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2601 SPENCER RD, SPENCER, OK 73084-3649
(405) 427-2441
Mailing address
157 STONEBRIDGE BLVD., APT 324, EDMOND, OK 73013-4649
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R0069705
OK
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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