Individual
CARMEN LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
1800 E COPLIN ST, OKEMAH, OK 74859-4642
(918) 623-1424
(918) 623-3013
Mailing address
1800 E COPLIN ST, OKEMAH, OK 74859-4642
(918) 623-1424
(918) 623-3013
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
95417
OK
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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