Search › Oklahoma › 171M00000X
Jennifer Johnson, CMII
NPI 1144345935 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2307 Gordon Cooper Dr
Shawnee, OK 74801 - Phone
- (405) 214-5101
- Fax
- (405) 878-5846
- Organisation at this address
- Citizen Potawatomi Nation Mail Order Pharmacy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 85
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YP2500X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma