Individual
MRS. KELLY MARLENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
1320 E OKLAHOMA AVE, GUTHRIE, OK 73044-3757
(405) 282-6285
(405) 282-5731
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
(405) 282-5731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101147
OK
Other
Enumeration date
03/13/2019
Last updated
09/14/2025
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