Individual
MS. FELICIA L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 NW 149TH ST, EDMOND, OK 73013-1596
(405) 748-5488
Mailing address
1701 NW 149TH ST, EDMOND, OK 73013-1596
(405) 748-5488
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R88635
OK
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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