Johnson, Alicia D

Johnson, Alicia D is an individual health care provider with primary practice located at 3500 Healthplex Pkwy Suite 200, Norman OK 73072-9738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Alicia D can be contacted via phone (405) 515-2260.

Contact Information

Primary practice address
3500 Healthplex Pkwy Suite 200 Norman OK 73072-9738
Phone: (405) 515-2260
Fax: (405) 307-5617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R0057581 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R57581 Oklahoma

Profile Details

NPI number 1225235377
LBN Legal business name Johnson, Alicia D
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Dec 20th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225235377 NPPES
Oklahoma MEDICAID 200114010A

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