Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
Mailing address
7010 S YALE AVE, TULSA, OK 74136-5713
(918) 492-2554
(918) 477-9201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
205459
OK
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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