Individual provider · Type 1 NPI

Jacqueline R. Johnson

Family Nurse Practitioner · Edmond, OK

NPI number 1689612939 Active

Practice location

100 N University Dr
Edmond, OK 73034-5207

Fax (405) 974-3832

Mailing address

PO Box 5199
Abilene, TX 79608-5199

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR0036896 (OK)

Family Nurse Practitioner: Definition to come...

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About NPI 1689612939

Jacqueline R. Johnson's National Provider Identifier is 1689612939, issued on Jun 2, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Edmond, OK. The record was last updated on Jul 13, 2026.