Individual provider · Type 1 NPI
Channel Johnson, APRN, FNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tulsa, OK
NPI number
1225653512
Active
Practice location
1728 S Carson Ave
Tulsa, OK 74119-4610
Fax (918) 932-8244
Other practice locations
- 6400 S Lewis Ave Ste 100, Tulsa, OK 74136-1019 · (405) 378-2727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R0100572 (OK) |
| Family Nurse Practitioner | 363LF0000X | 100572 (OK) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R0100572 (OK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225653512
Channel Johnson, APRN, FNP, PMHNP-BC's National Provider Identifier is 1225653512, issued on Jun 11, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tulsa, OK. The record was last updated on Dec 23, 2024.