Individual provider · Type 1 NPI

Lisa M. Johnson

Nurse Practitioner · Bartlesville, OK

NPI number 1336772771 Active

Practice location

3400 E Frank Phillips Blvd Ste 703
Bartlesville, OK 74006-2443

Fax (918) 940-8399

Mailing address

11838 E 166th St N
Collinsville, OK 74021-4537

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X116093 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336772771

Lisa M. Johnson's National Provider Identifier is 1336772771, issued on Feb 13, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bartlesville, OK. The record was last updated on Jul 17, 2025.