Individual
MRS. DUSTI RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1815 W 6TH AVE, STILLWATER, OK 74074-4202
(405) 372-1480
Mailing address
1323 W 6TH AVE, STILLWATER, OK 74074-4399
(405) 372-1480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109268
OK
Other
Enumeration date
12/03/2018
Last updated
02/15/2019
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