NPI Profile for ADA D JOHNSON in LAWTON, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1437553252 |
|
| Status | Active | |
| Credentials | APRN-BC | |
| Entity | Individual | |
| Enumeration date | 10/22/2014 | |
| Last updated | 08/09/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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ADA D JOHNSON
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