person
Shannon L Johnson, CNP,APRN,CNS-RX
Family Nurse Practitioner in Oklahoma City, Oklahoma
NPI 1639166499

Shannon L Johnson is a Family Nurse Practitioner based in Oklahoma City, OK and is specialized in Family. Shannon L Johnson practices in Oklahoma City, OK and has the professional credentials of CNP,APRN,CNS-RX. The NPI Number for Shannon L Johnson is 1639166499 and holds a License No. 60090 (Oklahoma).

The current practice location address for Shannon L Johnson is 1600 Sw 119Th St, Oklahoma City, OK and can be reached out via phone at 405-425-8100 and via fax at 405-425-8109. You can also correspond with Shannon L Johnson through the mailing address at 5300 N INDEPENDENCE AVE, OKLAHOMA CITY, OK - 73112-5556 (mailing address contact number: 405-425-8100).

Location: 1600 Sw 119Th St, Oklahoma City, OK, 73112-5556
person
Provider Profile Details
NPI Number
1639166499
Provider Name
Shannon L Johnson
Credential
CNP,APRN,CNS-RX
Provider Entity Type
Individual
Gender
Female
Address
1600 Sw 119Th St, Oklahoma City, OK, 73112-5556
Phone Number
405-425-8100
Fax Number
405-425-8109
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200030250A 05 OK
institution
Provider Business Practice Location Address Details
Address
1600 Sw 119Th St
City
State
Zip
73170-4908
Phone Number
405-425-8100
Fax Number
405-425-8109
person
Provider Business Mailing Address Details
Address
5300 N Independence Ave
City
State
Zip
73112-5556
Phone Number
405-425-8100
Fax Number
405-425-8109
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
60090 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
60090 (Oklahoma)
Definition
Definition to come...
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