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Jamie Johnson

NPI 1215878186 · on the registry since 2026 · sole proprietor

Practice

Address
2601 Fontaine Pl
El Reno, OK 73036
Phone
(405) 313-8364

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-03

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