person
Jacqueline R Johnson
Family Nurse Practitioner in Edmond, Oklahoma
NPI 1689612939

Jacqueline R Johnson is a Family Nurse Practitioner based in Abilene, OK and is specialized in Family. Jacqueline R Johnson practices in Edmond, OK. The NPI Number for Jacqueline R Johnson is 1689612939 and holds a License No. R0036896 (Oklahoma).

The current practice location address for Jacqueline R Johnson is 100 N University Dr, Edmond, OK and can be reached out via phone at 405-974-2317 and via fax at 405-974-3832. You can also correspond with Jacqueline R Johnson through the mailing address at PO BOX 5199, ABILENE, TX - 79608-5199 (mailing address contact number: 325-437-8300).

Location: 100 N University Dr, Edmond, OK, 79608-5199
person
Provider Profile Details
NPI Number
1689612939
Provider Name
Jacqueline R Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 N University Dr, Edmond, OK, 79608-5199
Phone Number
405-974-2317
Fax Number
405-974-3832
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 N University Dr
City
State
Zip
73034-5207
Phone Number
405-974-2317
Fax Number
405-974-3832
person
Provider Business Mailing Address Details
Address
100 N University Dr
City
State
Zip
73034-5207
Phone Number
405-974-2317
Fax Number
405-974-3832
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R0036896 (Oklahoma)
Definition
Definition to come...
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