Individual provider · Type 1 NPI

Jessica Anne Johnson

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1104446764 Active

Practice location

2448 E 81st St Ste 3700
Tulsa, OK 74137-4257

Call (918) 236-4000 Map

Mailing address

1111 W 17th St
Tulsa, OK 74107-1886

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104446764

Jessica Anne Johnson's National Provider Identifier is 1104446764, issued on Apr 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Apr 23, 2020.