NPI 1164661096

Traci Lynn Johnson, LVN

Practitioner Licensed Vocational Nurse Vance Afb, OK

Practice location

Address: 71 Mdg 527 Gott Rd, Vance Afb, OK 73705-5105
Phone: (580) 213-7909

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 55339 (OK)

Other Licensed Vocational Nurse providers in Oklahoma →

Registry record

NPI: 1164661096
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2009
Record last updated: 17 Feb 2009

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.