Jennifer Lyn Johnson
NPI #1003324021 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1003324021
- Entity Type
- Individual
- Name
- Jennifer Lyn Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jan 11, 2018
- Last Updated
- Jan 11, 2018
Practice Location
- Address
- 1500 N 6TH ST
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-2827
- Phone
- (580) 762-7561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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