Individual
JESSICA MARIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 713-5873
(405) 713-5816
Mailing address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119-7024
(405) 713-5873
(405) 713-5816
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
82477
OK
163WP0808X
Psychiatric/Mental Health Registered Nurse
862098
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
82477
OK
Other
Enumeration date
10/18/2016
Last updated
03/16/2021
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