Jeanette Johnson in Broken Arrow - Specialist
Jeanette Johnson - NPI 1053349308
Jeanette Johnson is a Specialist in Broken Arrow, Oklahoma. Jeanette Johnson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeanette Johnson is 1053349308. The last update date is 2007-07-09.
Jeanette Johnson's current location address is 2208 N Yellowood Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182861261 and fax number 9182861265. The mailing address for Jeanette Johnson is 2208 N Yellowood Ave, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Johnson |
|---|---|
| Address | 2208 N Yellowood Ave, Broken Arrow, Oklahoma |
| Phone Number | 9182861261 |
| Fax Number | 9182861265 |
| Sole Proprietor | N |
| Credentials | O.T. R./L |
NPI Number Detail
| NPI Number | 1053349308 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2208 N Yellowood Ave |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740129102 |
| Phone Number | 9182861261 |
| Fax Number | 9182861265 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 500 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Jeanette Johnson's 1053349308?
The Jeanette Johnson's NPI (National Provider Identifier) Number is 1053349308. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jeanette Johnson is physically located?
The Jeanette Johnson is physically situated at the following address: 2208 N Yellowood Ave, Broken Arrow, OK, 740129102.
What is the area of specialization for Jeanette Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeanette Johnson is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date was the 1053349308 assigned to Jeanette Johnson?
The Jeanette Johnson was issued its 1053349308 on 2006-06-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jeanette Johnson most recently updated or revised?
The details related to Jeanette Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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