Jessica Lyn Johnson

NPI #1467084806 in Glenpool, Oklahoma

Provider Information

NPI Number: 1467084806
Entity Type: Individual
Name: Jessica Lyn Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 4, 2020
Last Updated: Feb 4, 2020

Practice Location

Address: 23 E 157TH PL S
City: Glenpool
State: Oklahoma
ZIP Code: 74033-4437
Phone: (918) 949-1280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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