Individual
DR. JAKE HENRY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3750 W MAIN ST STE AA, NORMAN, OK 73072-4645
(405) 928-9438
Mailing address
3750 W MAIN ST STE AA, NORMAN, OK 73072-4645
(480) 290-4385
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40389
OK
Other
Enumeration date
09/19/2022
Last updated
12/13/2024
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