Johnson, Jacqueline R

Johnson, Jacqueline R is an individual health care provider with primary practice located at 100 N University Dr , Edmond OK 73034-5207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Jacqueline R can be contacted via phone (405) 974-2317.

Contact Information

Primary practice address
100 N University Dr Edmond OK 73034-5207
Fax: (405) 974-3832
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0036896 Oklahoma

Profile Details

NPI number 1689612939
LBN Legal business name Johnson, Jacqueline R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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