NPI 1003324021

Jennifer Lyn Johnson

Practitioner Case Manager/Care Coordinator Ponca City, OK

Practice location

Address: 1500 N 6th St, Ponca City, OK 74601-2827
Phone: (580) 762-7561

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

Other Case Manager/Care Coordinator providers in Oklahoma →

Registry record

NPI: 1003324021
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2018
Record last updated: 11 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.