Most Relevant Information
Provider Data
| NPI Number: | 1003481714 |
| Provider Name: | JENNIFER JEAN JOHNSTON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/25/2021 |
| Last Updated: | 05/25/2021 |
Provider Practice Location
14430 NS 3500
KONAWA
OK
748494901
Practice Location Phone/Fax
| Phone: | 5809252650 |
| Fax: |
Provider Mailing Location
14430 NS 3500
KONAWA
OK
748494901
Provider Mailing Phone/Fax
| Phone: | 5809252650 |
| Fax: |