Johnson, Alicia D
Johnson, Alicia D is an individual health care provider with primary practice located at 3500 Healthplex Pkwy Suite 200, Norman OK 73072-9738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Alicia D can be contacted via phone (405) 515-2260.Contact Information
Primary practice address
3500 Healthplex Pkwy Suite 200
Norman OK 73072-9738
Phone: (405) 515-2260
Fax: (405) 307-5617
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | R0057581 | Oklahoma |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R57581 | Oklahoma |
Profile Details
NPI number | 1225235377 |
---|---|
LBN Legal business name | Johnson, Alicia D |
Credentials | APRN-CNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 2nd, 2007 |
Last updated | Dec 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225235377 | NPPES |
Oklahoma | MEDICAID | 200114010A |
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