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Contact Information

JOHNITA M MOORE, DNP RN, CWCN
8921 S MINGO RD
TULSA, OK74133-5841
 Phone: 918-252-8060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for JOHNITA M MOORE · (Female)

NPI Number 1053204404
Status Active
Credentials DNP RN, CWCN
Entity Individual
Enumeration date 06/02/2025
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 98282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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