Individual
MRS. ASHLEY NICOLE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
718 AVENUE A, BEAVER, OK 73932-3101
(580) 625-3477
(580) 625-3562
Mailing address
PO BOX 675, BEAVER, OK 73932-0675
(580) 528-1096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0081314
OK
363LF0000X
Family Nurse Practitioner
Primary
209854
OK
Other
Enumeration date
08/11/2022
Last updated
02/07/2025
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