Individual
BONNIE J JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
526 E CENTER ST, COLLINSVILLE, OK 74021
(918) 899-9700
Mailing address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5410
(918) 748-7585
(918) 403-6352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0053713
OK
363LF0000X
Family Nurse Practitioner
Primary
R0053713
OK
Other
Enumeration date
05/12/2018
Last updated
10/26/2018
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